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Organization
SNP DIRECT PATHS LLC
Active
Organization
SNP DIRECT PATHS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA PASCAL DO (PHYSICIAN OWNER/PRESIDENT)
(954) 249-8694
Entity
Organization
Contact information
Practice address
206 KRESGE FARM RD, BOX 102, EFFORT, PA 18330-8137
(954) 249-8694
(570) 805-2218
Mailing address
206 KRESGE FARM RD, BOX102, EFFORT, PA 18330-8137
(954) 249-8694
(570) 805-2218
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS-015101
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025705320001
—
PA
Enumeration date
02/10/2017
Last updated
02/13/2017
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