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Individual

JOHN A ALTOBELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD010333E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0040141000
KEYSTONE HEALTH PLAN EAST
PA
01
018511
HIGHMARK BLUE SHIELD
PA
01
10236
GEISINGER
PA
01
384481
HEALTH ASSURANCE
PA
01
4494535
AETNA
PA
01
50010623
KEYSTONE CENTRAL
PA
01
820985
FIRST PRIORITY HEALTH
PA
01
9794516
CIGNA
PA
01
P3159307
OXFORD
CT
Enumeration date
01/10/2006
Last updated
09/25/2007
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