Blanco, Paola G

Blanco, Paola G is an individual health care provider with primary practice located at 1501 N Cedar Crest Blvd Suite 110, Allentown PA 18104-2309. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Blanco, Paola G can be contacted via phone (610) 821-2828.

Contact Information

Primary practice address
1501 N Cedar Crest Blvd Suite 110 Allentown PA 18104-2309
Phone: (610) 821-2828
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 228853 Massachusetts
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD437345 Pennsylvania

Profile Details

NPI number 1194759852
LBN Legal business name Blanco, Paola G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated May 26th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194759852 NPPES
Pennsylvania MEDICAID 1023180680002

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