Individual
VICTOR AGUSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-4950
Mailing address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
002115
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038027000
INDEPENDENCE BLUE CROSS
PA
01
—
20051635
MERCY
PA
Enumeration date
05/29/2007
Last updated
04/12/2011
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