Provider Demographics
NPI:1891755922
Name:GASSIS, SAFWAT ALBERT (MD)
Entity type:Individual
Prefix:
First Name:SAFWAT
Middle Name:ALBERT
Last Name:GASSIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:205 GRANDVIEW AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-1708
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:875 POPLAR CHURCH RD
Practice Address - Street 2:SUITE 400
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2203
Practice Address - Country:US
Practice Address - Phone:717-724-6450
Practice Address - Fax:717-724-6451
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD428273207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1845649OtherHIGHMARK BLUE SHIELD
PA1552731OtherGATEWAY
PA101567265Medicaid
PA7799826OtherAETNA
PAP00323437OtherRAILROAD MEDICARE
MD963551OtherCAREFIRST MD BCBS
PA20100023OtherAMERIHEALTH MERCY-WMG
PA297701OtherUNISON
PA50091684OtherCAPITAL BLUE CROSS
PA1552731OtherGATEWAY
PA297701OtherUNISON
MD963551OtherCAREFIRST MD BCBS