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Individual

EDWARD J PURZYCKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2100 HARRISBURG PIKE, LANCASTER, PA 17601-2644
(717) 544-3172
(717) 544-3229
Mailing address
2100 HARRISBURG PIKE, LANCASTER, PA 17601-2644
(717) 544-3172
(717) 544-3229

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PS005182L
PA
103T00000X
Psychologist
Primary
PS005182L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000660054
HIGHMARK BLUE SHIELD
PA
05
001965635
PA
01
299786000
MAGELLAN
PA
01
3321660000
INDEPENDENCE BLUE CROSS
PA
01
377782
HEALTH AMERICA
PA
01
50055771
CAPITAL BLUE CROSS
PA
01
7689406 NON-HMO
AETNA
PA
01
P00694083
RAILROAD MEDICARE
PA
Enumeration date
02/10/2006
Last updated
06/02/2017
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