Dr. Edgar Bonchita Gantalao, M.D.
Psychiatry
NPI: 1649200411 Pennsylvania
73/100
Good — Trusted
Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.
Score Breakdown
License Status15/30
unknown
Disciplinary Record25/25
0 action(s)
Board Certification15/20
Not verified
Years in Practice12/15
20 years
Data Freshness6/10
Updated 5046 days ago
License Status
PennsylvaniaActive
License #
MD418498
Practice Information
- Address
- 635 MAPLE AVE
- DU BOIS, PA 15801
- Phone
- (814) 375-6379
- In Practice Since
- July 4, 2006
- Data Last Updated
- September 6, 2012
NPI Details
- NPI Number
- 1649200411
- Status
- Active
- Taxonomy Code
- 2084P0800X
Data sourced from CMS NPPES public database. Last verified: September 6, 2012.
Report an error