Individual
GARY THOMAS VERAZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
390 PIERCE ST, KINGSTON, PA 18704-5532
(570) 714-0400
(570) 714-0423
Mailing address
390 PIERCE ST, KINGSTON, PA 18704
(570) 714-0400
(570) 714-0423
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD035085E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001509142
—
PA
05
—
0015091420002
—
PA
01
—
158006
HEALTH AMERICA
PA
01
—
15967
GEISINGER HEALTH PLAN
PA
01
—
2793632
AETNA
PA
01
—
814562
FIRST PRIORITY HEALTH
PA
01
—
G17247
STERLING OPTION 1
—
01
—
VE484723
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/02/2006
Last updated
08/26/2022
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