Individual
GEORGE PETER CAUTILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD039658E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012740190001
—
PA
05
—
0012740190002
—
PA
05
—
0012740190003
—
PA
01
—
0528886000
KEYSTONE HEALTHPLAN EAST
—
01
—
200045766
RAILROAD MEDICARE
—
01
—
2981921
AETNA NUMBERS
—
01
—
693919
BLUE CHOICE
—
01
—
8110497004
CIGNA
—
Enumeration date
05/02/2006
Last updated
05/13/2021
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