| Pancoast & Fagerburg Associates | |
|
748 Quincy Ave Suite 301b Scranton PA 18510-1739 | |
| (570) 342-5253 | |
| (570) 342-6038 |
| Full Name | Pancoast & Fagerburg Associates |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 748 Quincy Ave, Scranton, Pennsylvania |
| Authorized Official Name and Position | Rodger E Fagerburg (PRESIDENT) |
| Authorized Official Contact | 5703425253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pancoast & Fagerburg Associates 748 Quincy Ave Suite 301b Scranton PA 18510-1739 Ph: (570) 342-5253 | Pancoast & Fagerburg Associates 748 Quincy Ave Suite 301b Scranton PA 18510-1739 Ph: (570) 342-5253 |
| NPI Number | 1700816782 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700816782 | NPI | - | NPPES |
| 0011414420007 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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