# ASCELINE SO GO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013955459
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD066439L | PA | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 03/22/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001743806 | — | PA |
| 01 | — | 01763401 | CAPITAL BLUE CROSS/KEYSTO | PA |
| 01 | — | 1140783 | AMERIHEALTH MERCY HANNAH | PA |
| 01 | — | 1147653 | AMERIHEALTH MERCY LEWISBE | PA |
| 01 | — | 115091 | UNITEDHEALTHCARE - HANNAH PENN | PA |
| 01 | — | 20013109 | AMERIHEALTH MERCY GEORGE | PA |
| 01 | — | 20013114 | AMERIHEALTH MERCY HANOVER | PA |
| 01 | — | 350359 | HIGHMARK BLUE SHIELD | PA |
| 01 | — | 737711 | UPMC | PA |
| 01 | — | 92962 | UNITEDHEALTHCARE - GEORGE STREET | PA |
| 01 | — | G93617 | HEALTH AMERICA/HEALTH ASS | PA |
| 01 | — | P002764 | GATEWAY HEALTH PLAN | PA |