Provider Demographics
NPI:1386622520
Name:DEL BIANCO, PAUL RAYMOND (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:RAYMOND
Last Name:DEL BIANCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:544 GREEN PARROT LN
Mailing Address - Street 2:
Mailing Address - City:NATRONA HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15065-3039
Mailing Address - Country:US
Mailing Address - Phone:724-224-7877
Mailing Address - Fax:724-223-9555
Practice Address - Street 1:544 GREEN PARROT LN
Practice Address - Street 2:
Practice Address - City:NATRONA HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:15065-3039
Practice Address - Country:US
Practice Address - Phone:724-224-7877
Practice Address - Fax:724-223-9555
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD040061-L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA440943Medicare ID - Type Unspecified
PAB42252Medicare UPIN