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Individual
DR. GREGORY J CODORI
Active
Individual
DR. GREGORY J CODORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS008086L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001483743
—
PA
01
—
144650
UNITED HEALTHCARE COMM PLAN
PA
01
—
1521174
GATEWAY
PA
01
—
20016168
AMERIHEALTH MERCY
PA
01
—
412782
HIGHMARK BLUE SHIELD
PA
01
—
413903
UPMC
PA
01
—
50067124
CAPITAL BLUE CROSS
PA
Enumeration date
05/17/2006
Last updated
06/10/2016
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