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Individual
JOSEPH G. DEGENHARD
Active
Individual
JOSEPH G. DEGENHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
PAK000208
PA
207Q00000X
Family Medicine Physician
Primary
MD417766
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018902940006
—
PA
01
—
1746358
BLUE SHIELD
PW
01
—
50051252
CAPITAL BLUE CROSS
PA
01
—
528636
AETNA
PA
01
—
P004493
GATEWAY
PW
Enumeration date
08/30/2006
Last updated
12/12/2018
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