Sangillo, Mario M

Sangillo, Mario M is an individual health care provider with primary practice located at 2025 Technology Pkwy Ste 108, Mechanicsburg PA 17050-9400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Sangillo, Mario M can be contacted via phone (717) 791-2680.

Contact Information

Primary practice address
2025 Technology Pkwy Ste 108 Mechanicsburg PA 17050-9400
Phone: (717) 791-2680
Fax: (717) 791-2688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD026221E Pennsylvania

Profile Details

NPI number 1043202294
LBN Legal business name Sangillo, Mario M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043202294 NPPES
Pennsylvania Other 01464401 CAIC
Pennsylvania MEDICAID 0008697970006 CAIC
Pennsylvania Other SA054783 CAIC

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