Individual
RICHARD ANTHONY CAUTILLI JR.
Active
Individual
RICHARD ANTHONY CAUTILLI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD036719E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012739980001
—
PA
05
—
0012739980002
—
PA
05
—
0012739980003
—
PA
01
—
0432873000
KEYSTONE HEALTHPLAN EAST
—
01
—
200045805
RAILROAD MEDICARE
—
01
—
2981923
AETNA
—
01
—
5007871006
CIGNA
—
01
—
610024
BLUE SHIELD
PA
01
—
610024
BLUE CHOICE
—
Enumeration date
05/02/2006
Last updated
05/13/2021
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