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Individual

SAFWAT ALBERT GASSIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
875 POPLAR CHURCH RD, SUITE 400, CAMP HILL, PA 17011-2203
(717) 724-6450
(717) 724-6451
Mailing address
205 GRANDVIEW AVE, SUITE 210, CAMP HILL, PA 17011-1708

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD428273
PA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD428273
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101567265
PA
01
1552731
GATEWAY
PA
01
1845649
HIGHMARK BLUE SHIELD
PA
01
20100023
AMERIHEALTH MERCY-WMG
PA
01
297701
UNISON
PA
01
50091684
CAPITAL BLUE CROSS
PA
01
7799826
AETNA
PA
01
963551
CAREFIRST MD BCBS
MD
01
P00323437
RAILROAD MEDICARE
PA
Enumeration date
03/24/2006
Last updated
06/04/2020
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