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Contact Information

MICHAEL W CONSEVAGE, MD
1000 N FRONT ST
PEDIATRIC CARDIOLOGY
WORMLEYSBURG, PA17043-1034
 Phone: 717-761-0200
 Fax: 717-761-0641
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL W CONSEVAGE · (Male)

NPI Number 1780685537
Status Active
Credentials MD
Entity Individual
Enumeration date 08/02/2005
Last updated 09/24/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD042293L
  • PA Medicaid 001471500
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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