Basic Information
Provider Information
NPI: 1801236310
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAGY
FirstName: JOSHUA
MiddleName: M.
NamePrefix: MR.
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2025 TECHNOLOGY PKWY STE 212
Address2:  
City: MECHANICSBURG
State: PA
PostalCode: 170509402
CountryCode: US
TelephoneNumber: 7179888185
FaxNumber: 7172215638
Practice Location
Address1: 2025 TECHNOLOGY PKWY STE 212
Address2:  
City: MECHANICSBURG
State: PA
PostalCode: 170509402
CountryCode: US
TelephoneNumber: 7179888185
FaxNumber: 7172215638
Other Information
ProviderEnumerationDate: 06/28/2013
LastUpdateDate: 10/13/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/13/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000XMA056177PAY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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