Individual
JEFFREY A MOGERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27A WOODLANDS DR, WAYMART, PA 18472-9366
(570) 488-9880
(570) 488-9882
Mailing address
141 SALEM AVE, CARBONDALE, PA 18407-2574
(570) 282-2724
(570) 282-7132
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD026871E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000860503
—
PA
01
—
1343003
BLUE SHIELD
—
Enumeration date
02/16/2006
Last updated
12/28/2021
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