Provider Demographics
NPI:1699776120
Name:NANBJOR, ARNFINN B (MD)
Entity type:Individual
Prefix:
First Name:ARNFINN
Middle Name:B
Last Name:NANBJOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 NORLAND AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4235
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-4218
Practice Address - Street 1:501 E MAIN ST
Practice Address - Street 2:POTOMAC CARDIOLOGY
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268-2353
Practice Address - Country:US
Practice Address - Phone:717-762-0552
Practice Address - Fax:717-762-0808
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD423525174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00368361OtherMEDICARE RAILROAD PIN
PA100933326 0001Medicaid
PA079110QAJMedicare ID - Type Unspecified
PAI06644Medicare UPIN
079110B0DMedicare PIN