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Individual

DR. GRACIELA CATALINA BIANCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
426 AIRPORT ROAD STE 134, BELTWAY COMMONS, HAZLETON, PA 18202-3840
(570) 501-7512
(570) 501-7515
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD430628
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1018576950001
PA
Enumeration date
05/10/2006
Last updated
06/23/2020
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