Healthcare Provider Details

I. General information

NPI: 1669092144
Provider Name (Legal Business Name): JOHN BIANCO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2020
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 JOHNSON RD FL 1
WASHINGTON PA
15301-8944
US

IV. Provider business mailing address

470 JOHNSON RD FL 1
WASHINGTON PA
15301-8944
US

V. Phone/Fax

Practice location:
  • Phone: 724-579-7000
  • Fax: 724-579-7001
Mailing address:
  • Phone: 724-579-7000
  • Fax: 724-579-7001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS022743
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: