Individual
ANDREW LICATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W BERKELEY ST, UNIONTOWN, PA 15401-5596
(724) 430-5000
Mailing address
500 W BERKELEY ST, UNIONTOWN, PA 15401-5514
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD476933
PA
390200000X
Student in an Organized Health Care Education/Training Program
F397214
WV
Other
Enumeration date
03/31/2017
Last updated
06/27/2022
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