Individual
JAMES J PISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-9812
(814) 534-9372
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-9812
(814) 534-9372
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD056331L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016520130007
—
PA
01
—
195653
HIGHMARK/BLUE SHIELD
PA
01
—
218276
UPMC HEALTH PLAN
PA
01
—
220028933
PALMETTO GBA
PA
Enumeration date
06/28/2006
Last updated
10/29/2015
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