Healthcare Provider Details

I. General information

NPI: 1982603791
Provider Name (Legal Business Name): JAMES P NAVALKOWSKY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 03/20/2012
Certification Date:
Deactivation Date: 03/17/2006
Reactivation Date: 03/31/2006

III. Provider practice location address

418 CLOVERLEAF RD
ELIZABETHTOWN PA
17022-9320
US

IV. Provider business mailing address

418 CLOVERLEAF RD
ELIZABETHTOWN PA
17022-9320
US

V. Phone/Fax

Practice location:
  • Phone: 717-653-1467
  • Fax: 717-653-1001
Mailing address:
  • Phone: 717-653-1467
  • Fax: 717-653-1001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD030362E
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD030362E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: