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Individual
PAUL ANDREW KOBERNA
Active
Individual
PAUL ANDREW KOBERNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD062353-L
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD062353-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016455000003
—
PA
01
—
110237654
RAILROAD MEDICARE
PA
01
—
21920
GEISINGER
PA
01
—
50000805
CAPITAL BC/BS
PA
01
—
952761
HIGHMARK BS
PA
Enumeration date
10/03/2005
Last updated
10/31/2019
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