Individual
GERARD A GARGUILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 FRANKLIN ST, STE 030, JOHNSTOWN, PA 15905-4330
(814) 539-6797
(814) 535-8400
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 410-8300
(814) 410-8331
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD058962L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015840110003
—
PA
Enumeration date
06/13/2005
Last updated
10/20/2014
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