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Individual

DR. JOSEPH W GATTUSO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1321 11TH AVE, ALTOONA, PA 16601-3301
(814) 942-2411
(814) 942-0510
Mailing address
1321 11TH AVE, ALTOONA, PA 16601-3301
(814) 942-2411
(814) 942-0510

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD038504E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010868600006
PA
01
1034473
GATEWAY
PA
01
142500
BCBS INDIVIDUAL
PA
Enumeration date
06/27/2005
Last updated
03/05/2008
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