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Individual
JOHN A CONSALVO
Active
Individual
JOHN A CONSALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD025156E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009688010014
—
PA
01
—
0041657000
INDEPENDENCE BC
PA
01
—
414646
HIGHMARK BS
PA
Enumeration date
05/13/2006
Last updated
01/27/2011
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