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Individual
MR. JOSE ANTONIO BARDELAS JR.
Active
Individual
MR. JOSE ANTONIO BARDELAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
21622
NC
208000000X
Pediatrics Physician
21622
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200001
UNITED HEALTHCARE
—
01
—
13057
BCBS
NC
05
—
8913057
—
NC
Enumeration date
05/03/2006
Last updated
08/10/2021
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