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Individual

JERZY K MAGDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
125 ENCLAVE DR, NEW CASTLE, PA 16105-3207
(724) 658-6656
(724) 658-6542
Mailing address
125 ENCLAVE DR, NEW CASTLE, PA 16105-3207
(724) 658-6656
(724) 658-6542

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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