Provider Demographics
NPI:1073580601
Name:NAGY, PAMELA H (MD)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:H
Last Name:NAGY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:241 CONESTOGA RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-3916
Mailing Address - Country:US
Mailing Address - Phone:610-688-5266
Mailing Address - Fax:610-975-0720
Practice Address - Street 1:241 CONESTOGA RD
Practice Address - Street 2:SUITE B
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-3916
Practice Address - Country:US
Practice Address - Phone:610-688-5266
Practice Address - Fax:610-975-0720
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD426696207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA096326Medicare ID - Type Unspecified
I103455Medicare UPIN