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Individual
MR. JEROME VINCENT VENTURINA BACASNOT
Active
Individual
MR. JEROME VINCENT VENTURINA BACASNOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD434659
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102168935
—
PA
01
—
118663
GEISINGER HEALTH PLAN
PA
01
—
1572369
GATEWAY-WMG
PA
01
—
20076940
AMERIHEALTH MERCY-WMG
PA
01
—
2067460
HIGHMARK BLUE SHIELD
PA
01
—
211500
JOHNS HOPKINS
PA
01
—
248111
UNISON-WMG
PA
01
—
50079323
CAPITAL BLUE CROSS-WMG
PA
01
—
9864197
AETNA
PA
Enumeration date
12/10/2007
Last updated
03/23/2009
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