Individual
JOSEPH BIANCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 LINCOLN AVE, CARBONDALE, PA 18407-2170
(570) 281-1004
Mailing address
66 WEST GILBERT STREET, 2ND FLOOR, RED BANK, NJ 07701-4918
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD056700L
PA
207R00000X
Internal Medicine Physician
MD056700L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000784445
HIGHMARK BLUE SHIELD
PA
05
—
0015279460003
—
PA
01
—
821985
FIRST PRIORITY HEALTH
PA
01
—
P00426636
RAILROAD MEDICARE
PA
Enumeration date
12/20/2005
Last updated
12/04/2009
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