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NPI Code Detail

MEDICARE: DR. GENEROSO SANTOS PASCUAL MD

MEDICARE:  DR. GENEROSO SANTOS PASCUAL  MD
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
1174400000XSpecialistMD036068LPA

General Provider Information

NPI Number : 1205801735
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GENEROSO SANTOS PASCUAL MD
Provider Business Mailing Address
First Line : 1500 5TH AVE
Second Line : A LEVEL MANSFIELD
City : MCKEESPORT
State : PA
Zip : 15132-2422
Country : US
Telephone Number : 412-664-2507
Fax Number :
Provider Business Practice Location Address
First Line : 1500 5TH AVE
Second Line : A LEVEL MANSFIELD
City : MCKEESPORT
State : PA
Zip : 15132-2422
Country : US
Telephone Number : 412-664-2507
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2006
Last Update Date : 07/08/2007

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Directions to “ DR. GENEROSO SANTOS PASCUAL MD” Practice Location

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