MEDICARE: CHRIS PAGNANI MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103TC0700X	Clinical Psychologist
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
3	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1881073286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRIS PAGNANI MD PC

Provider Business Mailing Address
First Line	:	1528 WALNUT ST STE 1414
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-3610
Country	:	US
Telephone Number	:	267-687-2032
Fax Number	:	267-687-2062

Provider Business Practice Location Address
First Line	:	1528 WALNUT ST STE 1414
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-3610
Country	:	US
Telephone Number	:	267-687-2032
Fax Number	:	267-687-2032

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CHRISTOPHER PAGNANI
Credential	:	M.D.
Telephone Number	:	267-687-2032

Provider Enumeration Date	:	05/19/2015
Last Update Date	:	08/06/2024

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