Individual
DR. LAWRENCE GAETANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 S GEORGE ST, 3RD FLOOR, YORK, PA 17403-3676
(717) 851-4005
(717) 812-2495
Mailing address
1803 MT. ROSE AVENUE, SUITE B3, YORK, PA 17403-3051
(717) 851-1405
(717) 812-2495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA03927400
NJ
207R00000X
Internal Medicine Physician
Primary
MD061027L
PA
208M00000X
Hospitalist Physician
MD061027L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039157300
—
MD
05
—
102219829
—
PA
01
—
110213996
RAILROAD MEDICARE
—
01
—
118218
GEISINGER HEALTH PLAN
PA
01
—
1577542
GATEWAY
PA
01
—
165975
HIGHMARK BLUE SHIELD
PA
01
—
20090431
AMERIHEALTH MERCY-WMG
PA
01
—
225710
JOHNS HOPKINS
PA
01
—
256002
UNISON-WMG
PA
01
—
50086656
CAPITAL BLUE CROSS
PA
01
—
5542322
AETNA
PA
01
—
945950
CAREFIRST MD BCBS
MD
Enumeration date
02/06/2007
Last updated
06/30/2016
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