Provider Demographics
NPI:1396374708
Name:WARNICK, EUGENE PETER III (MD)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:PETER
Last Name:WARNICK
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:GINO
Other - Middle Name:PETER
Other - Last Name:WARNICK
Other - Suffix:III
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:142 OLD ASHLEY RD
Mailing Address - Street 2:
Mailing Address - City:HANOVER TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18706-3050
Mailing Address - Country:US
Mailing Address - Phone:570-301-2335
Mailing Address - Fax:
Practice Address - Street 1:100 N ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-0001
Practice Address - Country:US
Practice Address - Phone:570-271-6211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-07
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program