Organization
J EDWARD DAGEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J EDWARD DAGEN M.D. (PRESIDENT)
(717) 245-0131
Entity
Organization
Contact information
Practice address
9 BROOKWOOD AVE, CARLISLE, PA 17013-9126
(717) 245-0131
(717) 245-9611
Mailing address
9 BROOKWOOD AVE, CARLISLE, PA 17013-9126
(717) 245-0131
(717) 245-9611
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD017601E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007397920002
—
PA
01
—
03250401
CAPITAL BLUE CROSS
PA
01
—
095786
BLUE SHIELD
PA
01
—
527353
AETNA
PA
01
—
9390390
CIGNA
PA
Enumeration date
04/10/2007
Last updated
08/22/2020
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