Doctor Name: | DR. GARY A PACYNA |
NPI Number: | 1295795656 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | SC003408L |
Business Practice Address: | 921 Drinker Tpke Ste 21 Covington Township, PA - 184447948 |
Business Phone Number: | 5708420400 |
Business Fax Number: | 5708421449 |
Mailing Address: | 921 Drinker Tpke Ste 21, COVINGTON TOWNSHIP |
State: | PA |
Postal Code: | 184447948 |
Phone Number: | 5708420400 |
Fax Number: | 5708421449 |
NPI Enumeration Date: | 03/27/2006 |
NPI Last Update Date: | 09/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ER0200X |
License Number: | SC003408L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |