Individual
MR. MICHAEL J BACCOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
802 JEFFERSON AVE, SCRANTON, PA 18510-1038
(570) 348-1118
(570) 348-1118
Mailing address
802 JEFFERSON AVENUE, SCRANTON, PA 18510
(570) 348-1118
(570) 348-1109
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD062157L
PA
Other
Enumeration date
03/20/2006
Last updated
03/10/2021
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