Individual
DR. WILLIAM J. GIANFAGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
529 TERRY REILEY WAY, POTTSVILLE, PA 17901
(570) 624-4444
(570) 624-4445
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD026364E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000897666
—
PA
Enumeration date
03/09/2006
Last updated
08/05/2020
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