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Individual

JOSEPH D PANDISCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 475-8690
(513) 475-7257
Mailing address
PO BOX 8360, ST THOMAS, VI 00801-1360
(340) 714-2845
(340) 714-2843

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110006730
VA
363A00000X
Physician Assistant
Primary
50005815RX
OH
363A00000X
Physician Assistant
PA54482
CA
363A00000X
Physician Assistant

Other

Enumeration date
10/19/2010
Last updated
03/02/2020
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