Provider Demographics
NPI:1811225436
Name:PAGEL, MARY JANE (MA)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:JANE
Last Name:PAGEL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 'A' AVENUE E
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-2023
Mailing Address - Country:US
Mailing Address - Phone:215-441-0250
Mailing Address - Fax:
Practice Address - Street 1:412 'A' AVENUE E
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-2023
Practice Address - Country:US
Practice Address - Phone:215-441-0250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor