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Individual
PETER P GIAMMANCO
Active
Individual
PETER P GIAMMANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS003475L
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
OS003475L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000756102
—
PA
01
—
0047023
AETNA HMO
PA
01
—
0047254000
INDEPENDENCE BLUE CROSS
PA
01
—
1162861
CIGNA
PA
01
—
126654
HIGHMARK BLUE SHIELD
PA
01
—
1702
BRAVO HEALTH
PA
01
—
30037433
KEYSTONE MERCY
PA
01
—
4676005
AETNA PPO
PA
01
—
483429
COVENTRY HEALTH AMERICA
PA
01
—
597586
MEDICARE GROUP
PA
01
—
CD4829
RR MEDICARE GROUP
PA
01
—
P00416091
RR MEDICARE
PA
Enumeration date
12/05/2006
Last updated
04/10/2018
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