Individual
JERZY K MAGDA
Active
Individual
JERZY K MAGDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD049115L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014237090004
—
PA
01
—
051968
BLUE SHIELD
PA
01
—
110219074
RAILROAD MEDICARE
PA
01
—
134142
HEALTH AMERICA HEALTH AS
PA
01
—
1798653
UNITED HEALTH CARE
PA
01
—
204703
UPMC FOR YOU
PA
01
—
2133166
AETNA US HEALTHCARE
PA
01
—
2468537/001
CIGNA
PA
01
—
69230
THREE RIVERS MED PLUS
PA
01
—
P001100
GATEWAY
PA
Enumeration date
11/03/2005
Last updated
07/21/2022
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