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Individual

ROY M PRAGER

Active
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Individual

ROY M PRAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MA04809900
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MD 030055E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01529987
PA
05
0302201
NJ
Enumeration date
06/30/2005
Last updated
08/24/2012
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