Individual
PAOLA G BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 N CEDAR CREST BLVD, SUITE 110, ALLENTOWN, PA 18104-2309
(610) 821-2828
Mailing address
1501 N CEDAR CREST BLVD STE 110, ALLENTOWN, PA 18104-2309
(610) 821-2828
(610) 821-7915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
228853
MA
207RG0100X
Gastroenterology Physician
Primary
MD437345
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023180680002
—
PA
Enumeration date
07/10/2006
Last updated
05/26/2021
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