Individual
DR. ION D. BUCALOIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-1401
(570) 271-6164
(570) 271-6141
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD425001
PA
207RN0300X
Nephrology Physician
Primary
MD425001
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101095450
—
PA
Enumeration date
02/22/2006
Last updated
08/12/2020
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