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Individual

DR. LAWRENCE GAETANO

Active
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Individual

DR. LAWRENCE GAETANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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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