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Individual
DR. RICHARD A KONDAN
Active
Individual
DR. RICHARD A KONDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS007466L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014792030005
—
PA
01
—
07000290010
KEYSTONE
PA
01
—
1296316008
CIGNA
PA
01
—
757336
BCBS
PA
Enumeration date
05/08/2006
Last updated
12/11/2009
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