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Individual

MRS. SUZETTE VALERIANO BARRETO

Active
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Individual

MRS. SUZETTE VALERIANO BARRETO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD056527L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018601410002
PA
01
03020100
BC
PA
01
0369324
BLUE SHIELD
PA
01
1514975
GATEWAY
PA
Enumeration date
11/23/2005
Last updated
05/04/2020
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