Individual
AMY J PACZKOSKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1034 GROVE ST, 751 LIBERTY STREET, MEADVILLE, PA 16335-2945
(814) 333-5728
(814) 333-5726
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5728
(814) 333-5726
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD062649L
PA
207L00000X
Anesthesiology Physician
Primary
MD062649L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016501170007
—
PA
Enumeration date
09/06/2005
Last updated
01/03/2017
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