Individual
MADGY TAKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 COOPER PLZ, COOPER ANESTHESIA ASSOCIATES, CAMDEN, NJ 08103-1461
(856) 342-2425
(856) 968-8326
Mailing address
1 FEDERAL ST STE SW200, CAMDEN, NJ 08103-1155
(856) 356-4924
(856) 356-4710
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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