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Individual

DR. JOHN PAUL PACANOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 882-3007
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 882-3007

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
168735-1
NY
208000000X
Pediatrics Physician
Primary
MD009687E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006850830001
PA
05
00365417
NY
Enumeration date
02/09/2006
Last updated
07/13/2026
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