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Individual

ANTHONY BARON COLANGELO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
510 PARK AVE, ELLWOOD CITY, PA 16117-2025
(724) 758-4537
(724) 758-7344
Mailing address
510 PARK AVE, ELLWOOD CITY, PA 16117-2025
(724) 758-4537
(724) 758-7344

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
022953E
PA
207P00000X
Emergency Medicine Physician
022953E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1010186390001
PA
01
1010607
GATEWAY
PA
01
104011
UPMC
PA
01
1622543
HIGHMARK BC/BS
PA
01
200817080
UNITED HEALTHCARE
PA
01
244680
HEALTHASSURANCE
PA
01
4239283
AETNA
PA
01
6225598-002
CIGNA
PA
Enumeration date
06/17/2005
Last updated
10/01/2015
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