Individual
DIPTI SAMIR PANCHOLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 MADISON AVE, SCRANTON, PA 18510-2401
(570) 343-2383
(570) 343-4800
Mailing address
PO BOX 602, CHINCHILLA, PA 18410-0602
(570) 840-0162
(570) 343-4800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD055244L
PA
Other
Enumeration date
03/21/2007
Last updated
06/03/2015
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