Provider Demographics
NPI:1952889990
Name:PINTAR, DAVID K JR
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:K
Last Name:PINTAR
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 HAMILTON ROAD
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:DERBYSHIRE
Mailing Address - Zip Code:DE23 6RT
Mailing Address - Country:GB
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14 HAMILTON ROAD
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:DERBYSHIRE
Practice Address - Zip Code:DE23 6RT
Practice Address - Country:GB
Practice Address - Phone:440-133-2728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-01
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
506169649OtherUS PASSPORT