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Physician Compare National (NPI:1639279730)

HEALTHCARE PROVIDER: NUNZIO PETER PAGANO SR. DC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1639279730
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1254351042
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20091119000386
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name PAGANO
Individual professional last name
Provider First Name NUNZIO
Individual professional first name
Provider Middle Name PETER
Individual professional middle name
Provider Name Suffix Text SR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name SHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC
Individual professional's medical school
Graduation Year 1977
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 901 N STATE ROUTE 2
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 1
Group Practice or individual's line 2 address
City NEW MARTINSVILLE
Group Practice or individual's city
State WV
Group Practice or individual's state
Zip Code 261552560
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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