Individual
GERHARD CARL SENULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 RURAL AVE, WILLIAMSPORT, PA 17701-3109
(570) 321-2185
(570) 321-2192
Mailing address
777 RURAL AVE, WILLIAMSPORT, PA 17701-3109
(570) 321-2185
(570) 321-2109
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD039310E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012227100010
—
PA
01
—
820511
BCBS
PA
01
—
P00347315
RAILROAD MEDICARE
PA
Enumeration date
06/10/2006
Last updated
05/04/2021
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