Dr GARY D KANOUSE is a male medical professional, specializing in Internal Medicine. He graduated in 1985 from Hahnemann University College Of Medicine.
695 E 16TH ST
SUITE D
BERWICK
PA
186032320
Tel:
| Npi | 1568521425 |
| Pac Id | 6103082953 |
| Professional Enrollment Id | I20120723000565 |
| Last Name | KANOUSE |
| First Name | GARY |
| Middle Name | D |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | GERIATRIC MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | GERIATRIC MEDICINE |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 695 E 16TH ST |
| Line 2 Street Address | SUITE D |
| Marker Of Address Line 2 Suppression | |
| City | BERWICK |
| State | PA |
| Zip Code | 186032320 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 390072 |
| Hospital Affiliation Lbn 1 | BERWICK HOSPITAL CENTER |
| Hospital Affiliation Ccn 2 | 390006 |
| Hospital Affiliation Lbn 2 | GEISINGER MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 390003 |
| Hospital Affiliation Lbn 3 | GEISINGER-BLOOMSBURG HOSPITAL |
| Hospital Affiliation Ccn 4 | 390270 |
| Hospital Affiliation Lbn 4 | GEISINGER WYOMING VALLEY MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | 390185 |
| Hospital Affiliation Lbn 5 | LEHIGH VALLEY HOSPITAL - HAZLETON |
| Professional Accepts Medicare Assignment | M |
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