Provider Demographics
NPI:1457384398
Name:MOSCATO, GUY RICHARD (DO)
Entity type:Individual
Prefix:DR
First Name:GUY
Middle Name:RICHARD
Last Name:MOSCATO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-812-3040
Mailing Address - Fax:717-812-3049
Practice Address - Street 1:2339 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5009
Practice Address - Country:US
Practice Address - Phone:717-812-3040
Practice Address - Fax:717-812-3049
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS007905L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001556859Medicaid
PA280707OtherMAMSI-WMG
PA7170OtherGEISINGER
PAP002859OtherGATEWAY-WMG
PA01132502OtherCAPITAL BLUE CROSS-WMG
PA39995OtherJOHNS HOPKINS
PA105959OtherUNISON-WMG
MD607030OtherCAREFIRST MD BCBS
PA799764OtherHIGHMARK BLUE SHIELD
PA20011329OtherAH MERCY-WMG WINDSOR RD
PA7345463OtherAETNA
PA799764OtherHIGHMARK BLUE SHIELD
PA280707OtherMAMSI-WMG
PA799764FLTMedicare PIN