Individual
RUSSELL E. CONSIGLIO
Active
Individual
RUSSELL E. CONSIGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
PA10894
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10899748
GREAT WEST
CA
01
—
461130
INTERPLAN
CA
01
—
4663625
AETNA
CA
01
—
6753334
CIGNA
CA
01
—
90078280
PACIFICARE
CA
01
—
PA10894
BLUE CROSS
CA
05
—
PA10894
—
CA
Enumeration date
07/31/2006
Last updated
07/08/2007
Update your record
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