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Individual

HAROLD J. GAUTHIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3998 RED LION RD, EMERGENCY DEPARTMENT, PHILADELPHIA, PA 19114-1436
(215) 612-4000
(215) 612-4532
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-0001
(215) 807-8000
(215) 807-8235

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD030609E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009977410007
PA
05
0009977410008
PA
05
0009977410009
PA
01
0058423000
KEYSTONE IBC
PA
01
00997741-02
AMERICHOICE- TORRES
PA
01
00997741-03
AMERICHOICE- FRANKFORD
PA
01
00997741-04
AMERICHOICE - BUCKS
PA
01
07645
HEALTH PARTNERS
PA
01
086062
HIGHMARK BLUE SHIELD
PA
01
1111168
KEYSTONE MERCY
PA
01
20045128
AMERIHEALTH MERCY
PA
01
452729
AETNA CONTRACT
PA
01
5655559
CIGNA
PA
Enumeration date
07/07/2006
Last updated
11/22/2010
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