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Individual
PAUL M CONSLATO
Active
Individual
PAUL M CONSLATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD057199L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017571310003
—
PA
01
—
02025602
CAPITAL BLUE CROSS
PA
01
—
110190762
RAILROAD MEDICARE
PA
01
—
1519644
GATEWAY HEALTH PLAN
PA
01
—
2608284
AETNA HMO
PA
01
—
59345 S1QA
GEISINGER HEALTH PLAN
PA
01
—
672795
HIGHMARK BLUE SHIELD
PA
01
—
7016265
AETNA NON-HMO
PA
01
—
G99464
HEALTH ASSURANCE
PA
01
—
P002537
GATEWAY HEALTH PLAN
PA
Enumeration date
10/17/2005
Last updated
09/29/2016
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