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Individual

DR. MARY E PAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
670 LAWN AVE, SUITE 4, SELLERSVILLE, PA 18960-1571
(215) 257-0414
(215) 257-1740
Mailing address
670 LAWN AVE, SUITE 4, SELLERSVILLE, PA 18960-1571
(215) 257-0414
(215) 257-1740

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD049796L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015793070002
PA
01
0994912000
INDEPENDENCE BS
01
100769
OTHER BS
01
1094218
OTHER HMO
01
541601
AETNA
Enumeration date
07/11/2005
Last updated
07/09/2007
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