Individual
GAYLE B SISBARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1160 MANHEIM PIKE, LANCASTER, PA 17601-3127
(717) 869-4689
(717) 869-4690
Mailing address
1160 MANHEIM PIKE, LANCASTER, PA 17601-3127
(717) 869-4689
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS006214L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001223118
—
PA
01
—
02994401
CAPITAL BLUE CROSS
PA
01
—
37180 S1QB
GEISINGER HEALTH PLAN
PA
01
—
4573072
AETNA NON-HMO
PA
01
—
532477
HIGHMARK BLUE SHIELD
PA
01
—
578228
AETNA HMO
PA
01
—
B43285
HEALTH ASSURANCE
PA
01
—
P002628
GATEWAY HEALTH PLAN
PA
Enumeration date
09/16/2005
Last updated
12/12/2020
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