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Individual

DR. GREGORY ALLEN CETTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
63 S MAIN ST, MANSFIELD, PA 16933-1501
(570) 662-7766
(570) 662-0348
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
227026
NY
207Q00000X
Family Medicine Physician
Primary
MD069307L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017133980005
PA
05
02081001
NY
01
080176503
RR MEDICARE PIN
PA
01
CC9269
RR MEDICARE GROUP
PA
01
GU040009
MEDICARE GROUP
PA
Enumeration date
02/13/2006
Last updated
11/11/2021
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