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Individual

MR. PAUL W GAFFNEY

Active
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Individual

MR. PAUL W GAFFNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT000096E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049563000
INDEPENDENCE BLUE CROSS
PA
01
—
1160690
KEYSTONE MERCY
PA
05
—
1740457
—
PA
01
—
2Y4335
HEALTHNET
PA
01
—
30046
AETNA HMO PROVIDER NUMBER
PA
01
—
4358754
AETNA PROVIDER NUMBER
PA
Enumeration date
01/04/2007
Last updated
07/09/2007
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