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Individual
SUSAN A MELLINGER
Active
Individual
SUSAN A MELLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD020977E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016500910005
—
PA
01
—
080111446
RAILROAD MEDICARE
PA
01
—
2530725
AETNA HMO
PA
01
—
50090588
CAPITAL
—
01
—
55194 S101
GEISINGER HEALTH PLAN
PA
01
—
7147222
AETNA NON-HMO
PA
01
—
953079
HIGHMARK BLUE SHIELD
PA
01
—
G45819
HEALTH ASSURANCE
PA
01
—
P002672
GATEWAY HEALTH PLAN
PA
Enumeration date
01/25/2006
Last updated
12/13/2022
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