Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD457413 | PA |
Y | 111NI0900X | Internist | MD457413 | PA |
NPI | 1003259086 |
---|---|
Provider Name | Allison Jane Baragona |
First Address | Allentown, PA 18104-2309 |
Second Address | Allentown, PA 18104-2309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2013 |
Last Update Date | 12/11/2021 |