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Individual
DR. MARK A. MONACO
Active
Individual
DR. MARK A. MONACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS-007200-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014669940006
—
PA
01
—
010056677
MEDICARE RR
PA
01
—
0222047000
KEYSTONE
PA
01
—
079135
PA BLUE SHIELD
PA
01
—
112678
COVENTRY
PA
01
—
118066
AETNA
PA
01
—
30025953
KEYSTONE MERCY
PA
01
—
OS-007200-L
STATE LICENSE NUMBER
PA
01
—
P663879
OXFORD
PA
Enumeration date
08/12/2006
Last updated
05/27/2009
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