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Individual

DR. STACEY GAUTHIER ROBERT

Active
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Individual

DR. STACEY GAUTHIER ROBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD417684
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001894990
—
PA
01
—
03276101
CAPITAL BLUE CROSS-YH
PA
01
—
080188900
RAILROAD MEDICARE
PA
01
—
100475
GEISINGER
PA
01
—
104601
JOHNS HOPKINS
PA
01
—
114517
UNISON-YH
PA
01
—
1386785
HIGHMARK BLUE SHIELD
PA
01
—
20015676
AMERIHEALTH MERCY-YH
PA
01
—
2076681000
AMERIHEALTH 65 PA
PA
01
—
282977
MAMSI-YH
PA
01
—
615817
CAREFIRST MD BCBS
MD
01
—
7300892
AETNA
PA
01
—
P004686
GATEWAY-YH
PA
Enumeration date
07/05/2006
Last updated
02/04/2014
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