Organization
BACA PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIUSEPPE LANCELLOTTI MD (BUSINESS OWNER)
(717) 733-0790
Entity
Organization
Contact information
Practice address
159 N READING RD, EPHRATA, PA 17522-1671
(717) 733-0790
(717) 733-1802
Mailing address
159 N READING RD, EPHRATA, PA 17522-1671
(717) 733-0790
(717) 733-1802
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02629500
CAPITAL BLUE CROSS
—
Enumeration date
04/11/2006
Last updated
07/07/2011
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