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Individual
DR. GENO JOSEPH PAVLICK
Active
Individual
DR. GENO JOSEPH PAVLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD059655L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001651633
—
PA
01
—
080172838
RAILROAD MEDICARE
—
01
—
202461
VPMC HEALTH PLAN
—
01
—
5181567
AETNA
—
01
—
954623
BLUE SHIELD
—
01
—
P000130
GATEWAY HEALTH PLAN
—
Enumeration date
06/17/2006
Last updated
11/03/2020
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