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Dr. Raul Coronado, M.D.

Family Medicine in East Stroudsburg, PA. Individual provider (NPI-1).

NPI number1366564262
StatusActive
Last updated in NPPESNov 30, 2011

Details

NPI
1366564262
Entity type
Individual (NPI-1)
Name
Dr. Raul Coronado
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 4, 2007
Last updated
Nov 30, 2011

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine121427-1NYYes

Practice location

52 Carly Ct
East Stroudsburg, PA 18301-8004

Phone 201-522-0577 · Fax 646-349-1395

Mailing address

52 Carly Ct
East Stroudsburg, PA 18301-8004

Phone 201-522-0577 · Fax 646-349-1395

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in East Stroudsburg, PA

All 25 Family Medicine Physician providers in East Stroudsburg · All 1,083 providers in East Stroudsburg

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