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Organization
MAK HEALTHCARE, PC
Active
Organization
MAK HEALTHCARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDIEL GARCIA DC (OWNER)
(610) 588-2225
Entity
Organization
Contact information
Practice address
225 ERDMAN ST, BANGOR, PA 18013-2043
(610) 588-2225
Mailing address
225 ERDMAN ST, BANGOR, PA 18013-2043
(610) 588-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208600000X
Surgery Physician
—
—
225100000X
Physical Therapist
—
—
363LP2300X
Primary Care Nurse Practitioner
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508930173
RAILROAD MEDICARE/PALMETT
PA
01
—
2626451000
PERSONAL CHOICE
PA
01
—
3919243
AETNA
PA
01
—
50031706
CAPITAL BC
PA
01
—
660979
UNITED HC
PA
01
—
MA1785117
HIGHMARK-MEDICAL
PA
01
—
MT1552791
HIGHMARK-CHIROPRACTIC
PA
01
—
P38305
AMERIHEALTH
PA
Enumeration date
11/17/2006
Last updated
10/11/2017
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