Basic Information
| Provider Information | |||||||||
| NPI: | 1588159032 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BIALA | ||||||||
| FirstName: | NAMITA | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1032 RADCLIFFE ST APT A14 | ||||||||
| Address2: | |||||||||
| City: | BRISTOL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190075338 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 501 BATH RD | ||||||||
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| City: | BRISTOL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190073101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157859200 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2018 | ||||||||
| LastUpdateDate: | 06/27/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | OT018796 | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.