# DR. GENO JOSEPH PAVLICK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1912942939
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD059655L | PA | Yes |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 11/03/2020

## 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 | — |