Individual
DR. JOHN B MAGGIONCALDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11110 MEDICAL CAMPUS RD STE 228, HAGERSTOWN, MD 21742-6727
(301) 733-0022
Mailing address
11110 MEDICAL CAMPUS RD STE 228, HAGERSTOWN, MD 21742-6727
(301) 733-0022
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0101257989
VA
208800000X
Urology Physician
Primary
D88639
MD
208800000X
Urology Physician
MD425843
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102267675
—
PA
01
—
50075232
CAPITAL BLUE CROSS
PA
Enumeration date
10/20/2005
Last updated
10/06/2023
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