| Recaredo T Berbano Pc | |
|
445 Wyoming Avenue Kingston PA 18704 | |
| (570) 718-0520 | |
| (570) 718-0522 |
| Full Name | Recaredo T Berbano Pc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 445 Wyoming Avenue, Kingston, Pennsylvania |
| Authorized Official Name and Position | Recaredo Trinidad Berbano (MEDICAL DOCTOR OWNER) |
| Authorized Official Contact | 5707180520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Recaredo T Berbano Pc 445 Wyoming Avenue Kingston PA 18704 Ph: (570) 718-0520 | Recaredo T Berbano Pc 445 Wyoming Avenue Kingston PA 18704 Ph: (570) 718-0520 |
| NPI Number | 1649491911 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649491911 | NPI | - | NPPES |
| 001887950 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MD418104 (Pennsylvania) | Primary |
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