Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | OS011992 | PA |
NPI | 1033231907 |
---|---|
Provider Name | Dr. Paul David Allegretti |
First Address | Lancaster, PA 17601-2644 |
Second Address | Lancaster, PA 17601-2644 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 10/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1019085150001 | (05) | PA |
1019085150003 | (05) | PA |
1019085150004 | (05) | PA |
110353KKU | MEDICARE (01) | PA |
P01914492 | RR MEDICARE (01) | PA |