Organization
SAMIR B PANCHOLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR B PANCHOLY MD (OWNER)
(570) 876-6140
Entity
Organization
Contact information
Practice address
286 MAIN ST, OLYPHANT, PA 18447-2317
(570) 876-6140
Mailing address
286 MAIN ST, OLYPHANT, PA 18447-2317
(570) 876-6140
(570) 872-7776
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD045919L
PA
207RI0011X
Interventional Cardiology Physician
MD045919L
PA
Other
Enumeration date
01/11/2007
Last updated
04/20/2008
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