Individual
PAUL H. NANCOLLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 GEISINGER LN, LEWISTOWN, PA 17044-3400
(717) 242-4200
(717) 242-4212
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD036964E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001158548
—
PA
Enumeration date
04/11/2006
Last updated
08/17/2020
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