Individual
GEORGE S MOSONYI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
49 PRINCE ST, HARRISBURG, PA 17109-3113
(717) 901-3440
(717) 901-3447
Mailing address
49 PRINCE ST, HARRISBURG, PA 17109-3113
(717) 901-3440
(717) 901-3447
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP010043
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102556702
—
PA
01
—
11965685
CAQH
—
01
—
1579663
GATEWAY MEDICARE ASSURED
PA
01
—
2079631
HIGHMARK BLUE SHIELD
PA
01
—
SP010043
PA LICENSE
PA
Enumeration date
11/25/2008
Last updated
03/07/2023
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