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JEFFREY ALAN MARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
161 OLD SCHOOLHOUSE LN, SUITE 2, MECHANICSBURG, PA 17055-5684
(717) 697-7602
(717) 796-0921
Mailing address
161 OLD SCHOOLHOUSE LN, SUITE 2, MECHANICSBURG, PA 17055-5684
(717) 697-7602
(717) 796-0921

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC003128L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01122901
CAPITAL BLUE CROSS INDIVI
01
03066100
CAPITAL BLUE CROSS GROUP
01
12495910001
CIGNA
01
1288963
MEDICAID ACCESS
05
1288963
PA
01
421607
AETNA US HEALTHCARE
01
480012700
RAILROAD MEDICARE
PA
01
480012700
METRAHEALTH RAILROAD
01
678599
FEDEARL BLUE SHIELD FEP
01
678599 990483
KEYSTONE AND SR BLUE
01
7990483
GATEWAY
PA
01
814698
US HEALTHCARE
PA
01
814698
US HEALTHCARE
01
852306
US HEALTHCARE CPPO
Enumeration date
08/12/2005
Last updated
09/11/2012
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