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Individual
PHILIP H. NAGENGAST
Active
Individual
PHILIP H. NAGENGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2329285000
IBC
NJ
01
—
9566721
CIGNA
NJ
Enumeration date
01/22/2007
Last updated
05/01/2013
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