Individual
GAETANO JOSEPH LICATA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
720 BLACKBURN RD, SEWICKLEY, PA 15143-1459
(412) 749-7076
Mailing address
9226 WILLOUGHBY RD, PITTSBURGH, PA 15237-4522
(412) 367-3945
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD421210
PA
Other
Enumeration date
05/23/2006
Last updated
07/08/2007
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