Basic Information
| Provider Information | |||||||||
| NPI: | 1699776120 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | NANBJOR | ||||||||
| FirstName: | ARNFINN | ||||||||
| MiddleName: | B | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 601 NORLAND AVE | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172014235 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172639555 | ||||||||
| FaxNumber: | 7172174218 | ||||||||
| Practice Location | |||||||||
| Address1: | 501 E MAIN ST | ||||||||
| Address2: | POTOMAC CARDIOLOGY | ||||||||
| City: | WAYNESBORO | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172682353 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177620552 | ||||||||
| FaxNumber: | 7177620808 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2005 | ||||||||
| LastUpdateDate: | 01/02/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | MD423525 | PA | Y | Other Service Providers | Specialist |
ID Information
| ID | Type | State | Issuer | Description | P00368361 | 01 | MEDICARE RAILROAD PIN | OTHER | 100933326 0001 | 05 | PA | MEDICAID |