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Individual

ANITA NAGPAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
604 FOX HOLLOW CIRCLE, MUNCY, PA 17756
(570) 546-5009
(570) 546-4165
Mailing address
PO BOX 89, MUNCY, PA 17756
(570) 546-5009

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051553
PA
363AS0400X
Surgical Physician Assistant
MA051553
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2518864
UNITEDHEALTHCARE
PA
01
Q08747
HEALTHAMERICA
PA
Enumeration date
03/28/2006
Last updated
11/10/2015
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