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Individual
MARK RAST
Active
Individual
MARK RAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD054210L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000257194
UNISON
PA
01
—
000545636
HIGHMARK BLUE SHIELD
PA
05
—
001491807 0008
—
PA
01
—
0739808000
INDEPENDENCE BLUE CROSS
PA
01
—
080100812
RAILROAD MEDICARE
PA
01
—
1046919
AMERIHEALTH MERCY
PA
01
—
1190741
AETNA
PA
01
—
14808
GEISINGER HEALTH PLAN
PA
01
—
50082755
CAPITAL BLUE CROSS
PA
01
—
54821
HEALTH AMERICA
PA
01
—
P002760
GATEWAY
PA
Enumeration date
06/29/2006
Last updated
04/12/2011
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