Individual
DR. GARY PAUL NEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB CHB
Contact information
Practice address
200 S RIVER ST, PLAINS, PA 18705-1143
(570) 821-1100
(570) 821-1108
Mailing address
200 S RIVER ST, PLAINS, PA 18705-1143
(570) 821-1100
(570) 821-1108
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A95263
CA
174400000X
Specialist
Primary
MD427857
PA
208600000X
Surgery Physician
MD427857
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025213870001
—
PA
01
—
196200HUY
MEDICARE
—
Enumeration date
01/05/2007
Last updated
03/14/2022
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