Provider Demographics
NPI:1093810608
Name:G. U., INC.
Entity Type:Organization
Organization Name:G. U., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEOFFREY
Authorized Official - Middle Name:J
Authorized Official - Last Name:BISIGNANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-539-9736
Mailing Address - Street 1:911 LIGONIER ST STE 104
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-1805
Mailing Address - Country:US
Mailing Address - Phone:724-539-9736
Mailing Address - Fax:724-539-2836
Practice Address - Street 1:911 LIGONIER ST STE 104
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-1805
Practice Address - Country:US
Practice Address - Phone:724-539-9736
Practice Address - Fax:724-539-2836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA026473OtherHIGHMARK BLUE SHIELD
PA0638270Medicaid
PA026473Medicare ID - Type Unspecified