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Individual

DR. SAMUEL D D'AGATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1227 BALTIMORE ST, HANOVER, PA 17331-4406
(717) 812-7559
(717) 632-2422
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD043979E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001172799
PA
01
1519968
GATEWAY
PA
01
30112674
AMERIHEALTH MERCY - WMG
PA
01
416732
HIGHMARK BLUE SHIELD
PA
01
418249
UPMC
PA
Enumeration date
07/20/2005
Last updated
01/13/2025
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