Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0127X | Trauma Surgeon | MD423209 | PA |
NPI | 1003823675 |
---|---|
Provider Name | Robert D Barraco |
First Address | Philadelphia, PA 19178-3311 |
Second Address | Allentown, PA 18103-6369 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 02/12/2015 |