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Individual

DENNIS R TRAVAGLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CH

Contact information

Practice address
4 S MCCAIN DR, UNIT 8, FREDERICK, MD 21703-6093
(301) 624-0024
(301) 624-0026
Mailing address
4 S MCCAIN DR, UNIT 8, FREDERICK, MD 21703-6093
(301) 624-0024
(301) 624-0026

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S02048
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001955100
MD
01
061718321
FIDELITY PMG
01
105576
JOHN HOPKINS
01
1584302
CAREFIRST BCBS
MD
01
2127202
MAMSI
01
225097
KAISER-MID ATLANTIC
01
3501294
AETNA HMO
01
4400799
AMERICHOICE
01
701713
NCPPO
01
7923537
AETNA NON-HMO
01
J571-0001
CAREFIRST
DC
Enumeration date
07/12/2005
Last updated
05/27/2008
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