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Individual
ROSS D PODELL
Active
Individual
ROSS D PODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 066922L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0565534000
INDEPENDENCE BLUE CROSS
PA
01
—
110227133
RR MCR
—
01
—
133024
AETNA HMO
—
01
—
2008792001
KEYSTONE
—
01
—
261296
AETNA
—
01
—
276714
HIGHMARK BLUE SHIELD
PA
01
—
8118648004
CIGNA
—
Enumeration date
07/02/2006
Last updated
07/17/2014
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