Individual
JOEL S GISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4TH & WALNUT ST, GOOD SAMARITAN HOSPITAL, LEBANON, PA 17042-1281
(717) 270-7740
(717) 270-3877
Mailing address
PO BOX 1281, GOOD SAMARITAN HOSPITAL, LEBANON, PA 17042-1281
(717) 270-7740
(717) 270-3877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD045091L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016750900001
—
PA
01
—
01508002
CAPITAL BLUE CROSS
PA
01
—
77473
HIGHMARK BLUE SHIELD
PA
Enumeration date
03/30/2006
Last updated
01/02/2021
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