Individual
DR. GERARD MARITATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1839 FAIR AVE, HONESDALE, PA 18431-2121
(570) 251-6500
(570) 253-8174
Mailing address
1623 JEFFERSON AVE, DUNMORE, PA 18509-2031
(570) 251-6500
(570) 253-8174
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD043513E
PA
207Q00000X
Family Medicine Physician
Primary
MD043513E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001162596
—
PA
01
—
469483
BLUE SHIELD
PA
01
—
814103
FIRST PRIORITY HEALTH
PA
Enumeration date
09/12/2005
Last updated
10/31/2016
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