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Individual

MADGY TAKLA

Active
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Individual

MADGY TAKLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA06264500
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA06264500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010007776
AMERICHOICE
NJ
01
1121097
AETNA
NJ
01
1121106
AETNA
NJ
01
1384269
AMERIHEALTH PPO/PA BS
NJ
01
2075003000
AMERIHEALTH/KEYSTONE/IBC/PABS
NJ
01
2735366
CIGNA
NJ
01
2816920
UNITED HEATHCARE
NJ
01
60022562
HORIZON NJ HEALTH
NJ
05
8783501
NJ
01
P3722605
OXFORD
NJ
Enumeration date
06/23/2006
Last updated
04/16/2018
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