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Contact Information

MARK GIFEISMAN, MD
1 GUTHRIE SQ
SAYRE, PA18840-1625
 Phone: 570-888-5858
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MARK GIFEISMAN · (Male)

NPI Number 1740225234
Status Active
Credentials MD
Entity Individual
Enumeration date 06/18/2006
Last updated 03/30/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 040863
  • OH License # 35082834
  • PA License # MD439852
  • NY Medicaid 03206888
  • OH Medicaid 2416648
  • PA Medicaid 102445955
Hospital affiliation(s)
  • BRIDGEPORT HOSPITAL - (Acute Care)
    267 GRANT STREET
    BRIDGEPORT, CT 06610
  • ROBERT PACKER HOSPITAL - (Acute Care)
    ONE GUTHRIE SQUARE
    SAYRE, PA 18840
  • WATERBURY HOSPITAL - (Acute Care)
    64 ROBBINS ST
    WATERBURY, CT 06721
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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