Doctor Name: | MRS. JAN MARIE PESCI |
NPI Number: | 1033272851 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PAC |
License Number: | MA051376 |
Business Practice Address: | 12279 Route 30 Norwin Family Medicine North Huntingdon, PA - 15642 |
Business Phone Number: | 7248647101 |
Business Fax Number: | 7248647160 |
Mailing Address: | 12279 Route 30, Norwin Family Medicine NORTH HUNTINGDON |
State: | PA |
Postal Code: | 15642 |
Phone Number: | 7248647101 |
Fax Number: | 7248647160 |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 04/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA051376 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |