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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EDGAR BONCHITA GANTALAO, M.D.

Active

EDGAR BONCHITA GANTALAO, M.D. is a Psychiatry healthcare provider located in DU BOIS, Pennsylvania. NPI 1649200411 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · DU BOIS, PA

Registration Details

NPI Number
1649200411
Provider Type
Individual
Gender
Male
NPI Issued
Jul 4, 2006 (20.070549496686 yrs)
Last Updated
Sep 6, 2012
License
MD418498 (PA)

Practice Information

Address
635 MAPLE AVE
DU BOIS, PA, 158012376
Browse PA providers · Browse ZIP 15801
Phone
8143756379
Fax
8143759320
Primary Specialty
Psychiatry
2084P0800X

Other Psychiatry Providers in DU BOIS, PA

Name Credential NPI
DR. SCOTT ROBERT TURKIN M.D. 1972531333
BOHDAN N HRECZNYJ MD 1235169004
DR. PAUL F IGNATIUS MD 1558523571
RAMEZ ALTUWIJRI 1730568361
ALLEN BINOY DSOUZA M.D. 1174907778
DR. JESSIE W ZHANG MD 1144752734
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.