Individual
CHARLES CARL PAGANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
270 SUSQUEHANNA VALLEY MALL DR STE 800, SELINSGROVE, PA 17870-9124
(570) 884-7925
(570) 374-7932
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD050701L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001420743
—
PA
Enumeration date
06/05/2006
Last updated
07/25/2022
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