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Individual

GERARD V SICILIANO

Active
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Individual

GERARD V SICILIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
32151
KY
207RG0100X
Gastroenterology Physician
Primary
32151
KY
208600000X
Surgery Physician
32151
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000049918
ANTHEM PIN #
KY
05
201080170
IN
01
50034545
PASSPORT- NORTON SURGICAL SPECIALISTS
KY
05
64321516
KY
Enumeration date
03/28/2006
Last updated
01/21/2021
Update your record

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