Organization
PANCOAST & FAGERBURG ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODGER E FAGERBURG M.D. (PRESIDENT)
(570) 342-5253
Entity
Organization
Contact information
Practice address
748 QUINCY AVE, SUITE 301B, SCRANTON, PA 18510-1739
(570) 342-5253
(570) 342-6038
Mailing address
748 QUINCY AVE, SUITE 301B, SCRANTON, PA 18510-1739
(570) 342-5253
(570) 342-6038
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011414420007
—
PA
Enumeration date
07/04/2006
Last updated
08/22/2020
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