# JEFFREY ALAN MARKS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1467454033
- **Gender:** Man
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC003128L | PA | Yes |

## Other

- **Enumeration date:** 08/12/2005
- **Last updated:** 09/11/2012

## 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 | — |
