Edgar Bonchita Gantalao, M.D.
NPI #1649200411 in Du Bois, Pennsylvania
Provider Information
- NPI Number
- 1649200411
- Entity Type
- Individual
- Name
- Edgar Bonchita Gantalao, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Credential
- M.D.
- Enumeration Date
- Jul 4, 2006
- Last Updated
- Sep 6, 2012
Practice Location
- Address
- 635 MAPLE AVE
- City
- Du Bois
- State
- Pennsylvania
- ZIP Code
- 15801-2376
- Phone
- (814) 375-6379
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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