Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD044025L | PA |
N | 207VE0102X | Reproductive Endocrinologist | MD044025L | PA |
NPI | 1255395885 |
---|---|
Provider Name | Carol L Gnatuk |
First Address | Hershey, PA 17033-0858 |
Second Address | Hershey, PA 17033-2086 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2006 |
Last Update Date | 24/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0012530000005 | (05) | PA |
E01022 | (02) |