Provider Demographics
NPI:1689678054
Name:PAGANO, ROBERT J (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:PAGANO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2589 BOYCE PLAZA RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-4907
Mailing Address - Country:US
Mailing Address - Phone:412-232-8104
Mailing Address - Fax:412-281-1898
Practice Address - Street 1:2589 BOYCE PLAZA RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-4907
Practice Address - Country:US
Practice Address - Phone:412-232-8104
Practice Address - Fax:412-281-1898
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2021-07-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD031617E207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100002718OtherRAILROAD MEDICARE
PA0011222220002Medicaid
PAE64152Medicare UPIN
PA0011222220002Medicaid