Individual provider · Type 1 NPI

Gina Tallo

General Practice Physician · Wilkes Barre, PA

NPI number 1023958329 Active

Practice location

166 Hanover St
Wilkes Barre, PA 18702-3540

Call (570) 808-5674 Map

Fax (570) 808-8785

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Physician Primary 208D00000XMT236860 (PA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

23 other providers at this address

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About NPI 1023958329

Gina Tallo's National Provider Identifier is 1023958329, issued on Mar 30, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Oct 16, 2026.