Individual
MARY FRANCES PASCUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
148 N SHERMAN CT, HAZLETON, PA 18201-5863
(570) 454-6301
(570) 454-6815
Mailing address
PO BOX 1388, KINGSTON, PA 18704-0388
(570) 288-8881
(570) 288-8065
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
OS007234L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016400030005
—
PA
01
—
950526
BLUE SHIELD
PA
Enumeration date
07/18/2006
Last updated
11/13/2015
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