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Individual
JEFFREY ALAN MARKS
Active
Individual
JEFFREY ALAN MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC003128L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01122901
CAPITAL BLUE CROSS INDIVI
—
01
—
03066100
CAPITAL BLUE CROSS GROUP
—
01
—
12495910001
CIGNA
—
01
—
1288963
MEDICAID ACCESS
—
05
—
1288963
—
PA
01
—
421607
AETNA US HEALTHCARE
—
01
—
480012700
RAILROAD MEDICARE
PA
01
—
480012700
METRAHEALTH RAILROAD
—
01
—
678599
FEDEARL BLUE SHIELD FEP
—
01
—
678599 990483
KEYSTONE AND SR BLUE
—
01
—
7990483
GATEWAY
PA
01
—
814698
US HEALTHCARE
PA
01
—
852306
US HEALTHCARE CPPO
—
Enumeration date
08/12/2005
Last updated
09/11/2012
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