Individual
DR. CYRIL NATHANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 FRANKLIN ST, WESSEL BUILDING LEVEL D, JOHNSTOWN, PA 15905-4110
(814) 534-5042
Mailing address
1015 FRANKLIN ST, WESSEL BUILDING LEVEL D, JOHNSTOWN, PA 15905-4110
(814) 534-5042
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD058575L
PA
207RI0011X
Interventional Cardiology Physician
Primary
MD058575L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01584316
—
PA
Enumeration date
08/12/2006
Last updated
10/08/2020
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