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Individual

GARY ALAN BAIOCCHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
525 JAMESTOWN ST, SUITE 201, PHILADELPHIA, PA 19128-1751
(215) 482-2412
(215) 487-1251
Mailing address
PO BOX 820933, PHILADELPHIA, PA 19182-0933
(215) 482-2412
(215) 487-1251

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0S005465L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001665
AETNA HMO
PA
05
001307263
PA
01
0058558000
INDEPENDENCE BLUE CROSS
PA
01
0098182102
AMERICHOICE
PA
01
080100922
RAIL ROAD MEDICARE
PA
01
1079018
KEYSTONE MERCY HEALTH PLA
PA
01
2Y0373
HEALTH NET
PA
01
415254
HIGHMARK BLUE SHIELD
PA
01
5602292
AETNA PPO
PA
01
597586
MEDICARE GROUP TPI
PA
01
613144
COVENTRY HEALTH AMERICA
PA
01
694
BRAVO HEALTH
PA
01
CD4829
RAILROAD MEDICARE TPI
PA
01
P519014
OXFORD
PA
Enumeration date
01/25/2006
Last updated
12/30/2013
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