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NPI Code Detail

MEDICARE: DR. MICHAEL ALBERT PANARIELLO D.O.

MEDICARE:  DR. MICHAEL ALBERT PANARIELLO  D.O.
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
1207RP1001XPulmonary Disease PhysicianOS007623LPA

General Provider Information

NPI Number : 1679575633
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ALBERT PANARIELLO D.O.
Provider Business Mailing Address
First Line : 752 BROOKSHIRE DR
Second Line : STE 3
City : HERMITAGE
State : PA
Zip : 16148-4510
Country : US
Telephone Number : 724-347-5864
Fax Number : 724-346-6104
Provider Business Practice Location Address
First Line : 752 BROOKSHIRE DR
Second Line : STE 3
City : HERMITAGE
State : PA
Zip : 16148-4510
Country : US
Telephone Number : 724-347-5864
Fax Number : 724-346-6104
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 06/04/2012

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Directions to “ DR. MICHAEL ALBERT PANARIELLO D.O.” Practice Location

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