Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | A103124 | CA |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD463090 | PA |
N | 207YP0228X | Pediatric Otolaryngology | 50995 | CT |
NPI | 1295984953 |
---|---|
Provider Name | James Barrese |
First Address | Danville, PA 17822-4903 |
Second Address | Danville, PA 17822-9800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2008 |
Last Update Date | 30/08/2020 |