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Individual
NICHOLAS JOHN PUGLIESE
Active
Individual
NICHOLAS JOHN PUGLIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSOTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC002867L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1872840
—
PA
01
—
2670614
AETNA HMO INDIVIDUAL #
PA
01
—
372927
BLUE SHIELD GROUP #
PA
01
—
50031762
CAPITAL BLUE CROSS IND #
PA
01
—
814197
FIRST PRIORITY IND.#
PA
Enumeration date
07/04/2006
Last updated
07/09/2007
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