Individual
BETTY JEAN BARDELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
402 JACKSON ST, JAMESTOWN, PA 16134-9186
(724) 932-2299
(724) 932-2242
Mailing address
100 SHENANGO AVE, SHARON, PA 16146-1503
(724) 704-7386
(724) 704-7390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD418701
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018833510003
—
PA
Enumeration date
11/25/2005
Last updated
09/09/2011
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