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Individual
DR. JEFFREY MARK EWIG
Active
Individual
DR. JEFFREY MARK EWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
MD453612
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029947970001
—
PA
Enumeration date
11/10/2005
Last updated
11/26/2018
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