Provider Demographics
NPI:1962489849
Name:DANZIGER, PEDRO F (MD)
Entity Type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:F
Last Name:DANZIGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 5TH AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4213
Mailing Address - Country:US
Mailing Address - Phone:717-262-9700
Mailing Address - Fax:717-262-9702
Practice Address - Street 1:1150 PROFESSIONAL CT
Practice Address - Street 2:SUITE B
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-4100
Practice Address - Country:US
Practice Address - Phone:301-797-8788
Practice Address - Fax:301-797-2218
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0016969207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD523MMedicare PIN
MDB70135Medicare UPIN