Individual
PAUL N CERVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1163 COUNTRY CLUB RD, LOMBARDI CENTER, STE. 101, MONONGAHELA, PA 15063-1013
(724) 258-2229
Mailing address
1163 COUNTRY CLUB RD, LOMBARDI CENTER, STE. 101, MONONGAHELA, PA 15063-1013
(724) 258-2229
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD 044498E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012580150005
—
PA
01
—
130899
UNISON
—
01
—
1501460
GATEWAY HEALTH PLAN
PA
01
—
687794
HIGHMARK BC-BS
PA
Enumeration date
07/11/2005
Last updated
03/14/2014
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