Individual
MRS. JOAN O'DONNELL PIROG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LNP
Contact information
Practice address
420 S 5TH AVE, WEST READING, PA 19611-2143
(484) 628-4075
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
VP002205G
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102626600
—
PA
Enumeration date
10/25/2005
Last updated
09/13/2019
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