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Individual

MICHAEL J MAGGIULLI

Active
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Individual

MICHAEL J MAGGIULLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13475
NY
207Q00000X
Family Medicine Physician
Primary
134751
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000508058001
BC BS OF WNY
—
01
—
0108596
INDEPENDENT HEALTH
—
01
—
04481310
MEDICADE
—
01
—
0793
UNIVERA
—
01
—
22180
EMPIRE
—
01
—
7331260
AETNA
—
01
—
MDA129
PREFERRED CARE
—
01
—
P010134751
RIPA
—
Enumeration date
10/10/2006
Last updated
10/29/2019
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