EDGAR BONCHITA GANTALAO

DU BOIS, PA
NPI1649200411
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: PA  MD418498)
Enumeration Date2006-07-04
Last Update Date2012-09-06
Business Address
-- EDGAR BONCHITA GANTALAO M.D.
635 MAPLE AVE
DU BOIS, PA 15801-2376
Phone number: 814-375-6379
Mailing Address
-- EDGAR BONCHITA GANTALAO M.D.
100 HOSPITAL AVE
DU BOIS, PA 15801-1440
Phone number: 814-375-6379
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