Individual
CHARLES MICHAEL PAGANA II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
270 SUSQUEHANNA VALLEY MALL DR STE 800, SELINSGROVE, PA 17870-9124
(570) 884-7925
(570) 374-7932
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD446852
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102840511
—
PA
Enumeration date
06/21/2010
Last updated
07/25/2022
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