Provider Demographics
NPI:1750355681
Name:BARRIOS, RONALD LESLIE (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:LESLIE
Last Name:BARRIOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:965 BALTIMORE PIKE
Mailing Address - Street 2:SUITE B3
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-3957
Mailing Address - Country:US
Mailing Address - Phone:610-328-7159
Mailing Address - Fax:610-328-9093
Practice Address - Street 1:965 BALTIMORE PIKE
Practice Address - Street 2:SUITE B3
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-3957
Practice Address - Country:US
Practice Address - Phone:610-328-7159
Practice Address - Fax:610-328-9093
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039147L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0031325000OtherIBC
PA001000041-0001Medicaid
PA10000410004Medicaid
PA0031325000OtherIBC
PA420042Medicare PIN
PA10000410004Medicaid