Healthcare Provider Details

I. General information

NPI: 1750378733
Provider Name (Legal Business Name): SALVATORE A PARASCANDOLA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 10/08/2024
Certification Date: 10/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 GRANDVIEW AVE STE 303
CAMP HILL PA
17011-1729
US

IV. Provider business mailing address

225 GRANDVIEW AVE STE 303
CAMP HILL PA
17011-1729
US

V. Phone/Fax

Practice location:
  • Phone: 717-988-8200
  • Fax: 717-221-5644
Mailing address:
  • Phone: 717-761-4141
  • Fax: 717-761-1456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD035681E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: