Healthcare Provider Details

I. General information

NPI: 1073507778
Provider Name (Legal Business Name): NORA FLORES-PARAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 10/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3413 WILMINGTON RD
NEW CASTLE PA
16105-3209
US

IV. Provider business mailing address

3413 WILMINGTON RD
NEW CASTLE PA
16105-3209
US

V. Phone/Fax

Practice location:
  • Phone: 724-656-9005
  • Fax: 724-656-9003
Mailing address:
  • Phone: 724-656-9005
  • Fax: 724-656-9003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number419795
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: