Provider Demographics
NPI:1427026244
Name:PASCUA, FEBENIDO V (MD)
Entity Type:Individual
Prefix:DR
First Name:FEBENIDO
Middle Name:V
Last Name:PASCUA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:500 W BERKELEY ST
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-5514
Mailing Address - Country:US
Mailing Address - Phone:724-430-5066
Mailing Address - Fax:724-430-3382
Practice Address - Street 1:50 W BERKELEY ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-4241
Practice Address - Country:US
Practice Address - Phone:724-430-5108
Practice Address - Fax:724-430-3382
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD037505L207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD037505LOtherLICENSE NUMBER
PA184892K7PMedicare ID - Type UnspecifiedPROVIDER NUMBER
PAC33041Medicare UPIN