Individual
DR. ANGELO A BACCALA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 S CEDAR CREST BLVD, SUITE 210, ALLENTOWN, PA 18103-6224
(610) 402-6986
(610) 402-1682
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD440304
PA
Other
Enumeration date
04/04/2007
Last updated
11/27/2015
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