Individual
DR. BARON TAKAYUKI DENNISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 E 8TH ST, 1ST..FLR, ERIE, PA 16501-1269
(814) 456-1863
(814) 456-0864
Mailing address
150 E 8TH ST, 1ST FLR., ERIE, PA 16501-1269
(814) 456-1863
(814) 456-0864
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD044333L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
MD044363L
PA
Other
Enumeration date
01/16/2007
Last updated
01/16/2014
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