Individual
DR. TERESA IRENE BIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1909
(570) 320-7525
(570) 320-7484
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD417420
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018595800001
—
PA
01
—
1315333
HIGHMARK BLUE SHIELD
PA
01
—
153640
VALUE OPTIONS
PA
01
—
813859
FIRST PRIORITY HEALTH
PA
01
—
H32152
HEALTHAMERICA
PA
Enumeration date
03/29/2006
Last updated
02/10/2016
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