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NPI Code Detail

MEDICARE: ANDREW PAGNOTTA DCPC

MEDICARE: ANDREW PAGNOTTA DCPC
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1700899549
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANDREW PAGNOTTA DCPC
Provider Business Mailing Address
First Line : 101 CHELSEA AVE
Second Line :
City : PINE BEACH
State : NJ
Zip : 08741-1409
Country : US
Telephone Number : 732-341-5954
Fax Number : 732-341-5955
Provider Business Practice Location Address
First Line : 101 CHELSEA AVE
Second Line :
City : PINE BEACH
State : NJ
Zip : 08741-1409
Country : US
Telephone Number : 732-341-5954
Fax Number : 732-341-5955
Authorized Official
Title or Position : DIRECTOR
Name : DR. PAT ANDREW PAGNOTTA
Credential : D.C.
Telephone Number : 732-341-5954
Provider Enumeration Date : 08/14/2006
Last Update Date : 10/24/2016

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