Individual
DEANNA MARGARET BIANCHINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
278 EAGLEVIEW BLVD, EXTON, PA 19341-1157
(610) 561-6400
(610) 561-6401
Mailing address
1657 THAYER DR, BLUE BELL, PA 19422-3548
(215) 589-5974
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA059909
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA059909
MEDICAL LICENSE
PA
Enumeration date
07/18/2018
Last updated
09/26/2018
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