Recaredo T Berbano Pc

LBN: Recaredo T Berbano Pc
Recaredo T Berbano Pc is an health care organization with primary practice located at 445 Wyoming Avenue , Kingston PA 18704. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as the primary health care specialty. Recaredo T Berbano Pc can be contacted via phone (570) 718-0520, or through Berbano, Recaredo Trinidad via phone (570) 718-0520.

Contact Information

Primary practice address
445 Wyoming Avenue Kingston PA 18704
Phone: (570) 718-0520
Fax: (570) 718-0522
Website:
Map and Directions
Authorized official contact:
Name: Berbano, Recaredo Trinidad Doctor of Medicine (MD)
Phone: (570) 718-0520

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD418104 Pennsylvania

Profile Details

NPI number 1649491911
LBN Legal business name Recaredo T Berbano Pc
DBA Doing business as
Authorized official Berbano, Recaredo Trinidad Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2007
Last updated Jun 10th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649491911 NPPES
Pennsylvania MEDICAID 001887950

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