Individual
GIORGI GELAGUTASHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 ST LUKES BLVD, EASTON, PA 18045-5670
(484) 526-1000
Mailing address
1700 ST LUKES BLVD OFC, EASTON, PA 18045-5670
(484) 526-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT224554
PA
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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