Individual
DR. FRANK J PANGALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 522-2349
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4335
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01067541A
IN
207Q00000X
Family Medicine Physician
Primary
01067541A
IN
207Q00000X
Family Medicine Physician
036078511
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078511
—
IL
01
—
04532206
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/14/2005
Last updated
08/21/2023
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