Individual
DR. DINO J. BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 HOSPITAL DR, LEWISBURG, PA 17837-9350
(570) 522-4260
(570) 768-3704
Mailing address
1 HOSPITAL DR STE 306, LEWISBURG, PA 17837-9350
(570) 522-4110
(570) 768-3911
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS009525L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017945380009
—
PA
Enumeration date
10/04/2005
Last updated
06/07/2022
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