Individual
MR. JOSEPH E D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2808 OLD POST RD, HARRISBURG, PA 17110-3685
(717) 920-4400
(717) 920-4553
Mailing address
409 S 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1612
(717) 920-4400
(717) 920-4401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055575
PA
363A00000X
Physician Assistant
OA002880
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103145953
—
PA
Enumeration date
05/23/2012
Last updated
01/21/2021
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