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Individual
DR. ALLAN JAY CHIRCUS
Active
Individual
DR. ALLAN JAY CHIRCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D29085
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400947
AMERICHOICE
—
01
—
0456522
AETNA
—
01
—
0641413
COVENTRY
—
05
—
064141300
—
MD
01
—
817268
MDIPA OPT CHOICE MAMSI
—
01
—
T411
BLUE CHOICE
—
Enumeration date
08/26/2005
Last updated
02/15/2013
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