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Individual
JEFFERY JADCZAK
Active
Individual
JEFFERY JADCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
J10001754
DE
225100000X
Physical Therapist
Primary
PT015518
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000215642
AMERICHOICE
PA
01
—
1013958818
BRAVO
—
05
—
102406483-0001
—
PA
01
—
1483149
HIGHMARK
—
01
—
2173675000
IBC
PA
01
—
30051358
KEYSTONE MERCY
PA
01
—
P00359632
MEDICARE RR
—
Enumeration date
06/10/2006
Last updated
06/14/2010
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