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NPI Code Detail

MEDICARE: DR. HYACINTH BALAAN ENTERO M.D.

MEDICARE: DR. HYACINTH BALAAN ENTERO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMD446681PA
2208M00000XHospitalist PhysicianMD446681PA

General Provider Information

NPI Number : 1477875342
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HYACINTH BALAAN ENTERO M.D.
Provider Business Mailing Address
First Line : 500 ROUTE 909
Second Line :
City : VERONA
State : PA
Zip : 15147-3831
Country : US
Telephone Number : 412-212-3775
Fax Number : 877-384-3106
Provider Business Practice Location Address
First Line : 500 ROUTE 909
Second Line :
City : VERONA
State : PA
Zip : 15147-3831
Country : US
Telephone Number : 412-212-3775
Fax Number : 877-384-3106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2010
Last Update Date : 10/14/2024

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