Provider Demographics
NPI:1477875342
Name:ENTERO, HYACINTH BALAAN (MD)
Entity type:Individual
Prefix:DR
First Name:HYACINTH
Middle Name:BALAAN
Last Name:ENTERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:500 ROUTE 909
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:PA
Mailing Address - Zip Code:15147-3831
Mailing Address - Country:US
Mailing Address - Phone:412-212-3775
Mailing Address - Fax:877-384-3106
Practice Address - Street 1:500 ROUTE 909
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:PA
Practice Address - Zip Code:15147-3831
Practice Address - Country:US
Practice Address - Phone:412-212-3775
Practice Address - Fax:877-384-3106
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-19
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD446681207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist