Individual
MR. JOSE ANTONIO BARDELAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 WESTWOOD AVENUE, HIGH POINT, NC 27262-4320
(336) 883-1393
(336) 883-7517
Mailing address
100 WESTWOOD AVENUE, HIGH POINT, NC 27262-4320
(336) 883-1393
(336) 883-7517
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
21622
NC
208000000X
Pediatrics Physician
21622
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200001
UNITED HEALTHCARE
—
01
—
13057
BCBS
NC
05
—
8913057
—
NC
Enumeration date
05/03/2006
Last updated
08/10/2021
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