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NPI Code Detail

MEDICARE: MRS. MARIA LUISA PANAYOTOVA MD

MEDICARE: MRS. MARIA LUISA PANAYOTOVA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistMD030919LPA

General Provider Information

NPI Number : 1629056312
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIA LUISA PANAYOTOVA MD
Provider Business Mailing Address
First Line : 1204 DELAWARE AVE
Second Line :
City : FOUNTAIN HILL
State : PA
Zip : 18015-4156
Country : US
Telephone Number : 610-865-5321
Fax Number :
Provider Business Practice Location Address
First Line : 1739 W FAIRMONT ST
Second Line :
City : ALLENTOWN
State : PA
Zip : 18104-3189
Country : US
Telephone Number : 610-437-4988
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2006
Last Update Date : 02/04/2008

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