Individual
FRANK GARY ROMASCAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
ROUTE 209, BRODHEADSVILLE, PA 18322
(570) 992-5500
Mailing address
PO BOX 40, ROUTE 209, BRODHEADSVILLE, PA 18322
(570) 992-5500
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS004898L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R0182869
PA BLUE SHIELD
PA
Enumeration date
08/17/2006
Last updated
07/08/2007
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