Basic Information
Provider Information
NPI: 1710986534
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARBERO
FirstName: DANIEL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3330 PEACH ST STE 106B
Address2: SUITE 106B
City: ERIE
State: PA
PostalCode: 165082771
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 3330 PEACH ST STE 106B
Address2: SUITE 106B
City: ERIE
State: PA
PostalCode: 165082771
CountryCode: US
TelephoneNumber: 8148775570
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/14/2005
LastUpdateDate: 03/25/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD065350LPAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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