Individual
GARY SABATINE LANOCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7602 CENTRAL AVE STE 101, PHILADELPHIA, PA 19111-2443
(215) 969-2900
(215) 969-1856
Mailing address
PO BOX 820933, PHILADELPHIA, PA 19182-0933
(215) 324-0134
(215) 324-0885
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS006422L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011346800
—
PA
01
—
597586
MEDICARE GROUP
PA
01
—
CD4829
RR MEDICARE
PA
Enumeration date
07/25/2006
Last updated
10/29/2018
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