Individual
DR. PAUL FLAVIAN SIMONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PH.D.
Contact information
Practice address
100 N ACADEMY AVE, MC 01-11, DANVILLE, PA 17822-9800
(570) 271-6655
(570) 214-3967
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD433286
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00529955
—
PA
01
—
708349
MEDICARE
PA
Enumeration date
08/09/2005
Last updated
07/30/2020
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