Individual
DR. GREGORY FAMIGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 E 3RD ST, WILLIAMSPORT, PA 17701-5411
(570) 505-3180
(570) 505-3184
Mailing address
197 CINDY AVE, MONTGOMERY, PA 17752-8795
(570) 505-3180
(570) 505-3184
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME58589
FL
207LA0401X
Addiction Medicine (Anesthesiology) Physician
MD042726L
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD042726L
PA
207LP3000X
Pediatric Anesthesiology Physician
MD042726L
PA
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
MD042726L
PA
207QA0505X
Adult Medicine Physician
MD042726L
PA
208D00000X
General Practice Physician
MD042726L
PA
208VP0000X
Pain Medicine Physician
MD042726L
PA
Other
Enumeration date
06/09/2007
Last updated
06/23/2020
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