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Individual

JUAN CARLOS BARACALDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6164
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT188922
PA
208M00000X
Hospitalist Physician
Primary
MD437543
PA

Other

Enumeration date
05/29/2008
Last updated
02/11/2021
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