Individual
JOHN A CONSALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 MAIN ST, PECKVILLE, PA 18452-2009
(570) 489-7546
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598
(734) 995-3764
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD025156E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009688010014
—
PA
01
—
0041657000
INDEPENDENCE BC
PA
01
—
414646
HIGHMARK BS
PA
Enumeration date
05/13/2006
Last updated
01/27/2011
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