Individual
CHRISTINE V. PASCUAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1400 NINTH AVE., ALTOONA, PA 16602
(814) 941-8811
(814) 941-8828
Mailing address
792 GALLITZIN ROAD, CRESSON, PA 16630
(814) 886-8161
(814) 886-2955
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009653L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00019201790002
—
PA
05
—
0019201790002
—
PA
01
—
056175
GROUP BILLING PROVIDER #
PA
Enumeration date
01/25/2006
Last updated
10/25/2012
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