Individual
DR. PAUL R. DIGIACOMO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
775 NORMAN DR, LEBANON, PA 17042-7497
(717) 274-5500
(717) 202-0330
Mailing address
775 NORMAN DR, LEBANON, PA 17042-7497
(717) 274-5500
(717) 202-0330
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD011943E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006428090005
—
PA
Enumeration date
12/29/2005
Last updated
07/09/2007
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