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Individual
PAUL C KONITZKY
Active
Individual
PAUL C KONITZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS012144
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027281201
UNIVERA
NY
01
—
02664313
NY MEDICAL ASSISTANCE
NY
05
—
1013305780001
—
PA
01
—
1068906
WEST VIRGINIA WORK COMP
WV
01
—
1545621
GATEWAY
PA
01
—
170154
UNISON
PA
01
—
1746297
BLUE SHIELD
PA
01
—
2581933
OH MEDICAL ASSISTANCE
OH
01
—
410779
UPMC
PA
01
—
P00244567
RR MEDICARE
PA
Enumeration date
07/14/2005
Last updated
09/28/2022
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