Individual
DR. GARY A PACYNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
921 DRINKER TPKE STE 21, COVINGTON TOWNSHIP, PA 18444-7948
(570) 842-0400
(570) 842-1449
Mailing address
921 DRINKER TPKE STE 21, COVINGTON TOWNSHIP, PA 18444-7948
(570) 842-0400
(570) 842-1449
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC003408L
PA
213ER0200X
Radiology Podiatrist
SC003408L
PA
213ES0000X
Sports Medicine Podiatrist
SC003408L
PA
213ES0131X
Foot Surgery Podiatrist
Primary
SC003408L
PA
332B00000X
Durable Medical Equipment & Medical Supplies
0649380001
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0211163000
BC PERSONAL CHOICE
PA
01
—
0575152
AETNA
PA
05
—
0649380001
—
PA
01
—
073911
BLUE SHIELD HMO
PA
01
—
2Y8325
PHS
PA
01
—
30263 5822
GEISINGER GOLD
PA
01
—
476121
FIRST PRIORITY FOR LIFE
PA
01
—
480012183
RAILROAD MEDICARE
PA
01
—
74559
MED PLUS
PA
01
—
8193207
UNISYS
NJ
Enumeration date
03/27/2006
Last updated
09/18/2012
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