Provider Demographics
NPI:1154356525
Name:PAZIN, JOHN G
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:G
Last Name:PAZIN
Suffix:
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 1:20826 ROUTE 19
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-6028
Mailing Address - Country:US
Mailing Address - Phone:724-776-4776
Mailing Address - Fax:724-776-0251
Practice Address - Street 1:20826 ROUTE 19
Practice Address - Street 2:
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-6028
Practice Address - Country:US
Practice Address - Phone:724-776-4776
Practice Address - Fax:724-776-0251
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD068422L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA026536NHMOtherMEDICARE PTAN
PA026536Medicare PIN
PAG91387Medicare UPIN