Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | DC000977L | PA |
Y | 213ER0200X | Radiology | DC000977L | PA |
NPI | 1275521940 |
---|---|
Provider Name | John C Pammer JR. |
First Address | Catasauqua, PA 18032-2210 |
Second Address | Catasauqua, PA 18032-2210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2005 |
Last Update Date | 08/07/2007 |