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Individual

JOSEPH G. DEGENHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
808 PLEASANTVIEW DR, EPHRATA, PA 17522-1644
(717) 733-9090
(717) 733-8982
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 733-9090
(717) 733-8982

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
PAK000208
PA
207Q00000X
Family Medicine Physician
Primary
MD417766
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018902940006
PA
01
1746358
BLUE SHIELD
PW
01
50051252
CAPITAL BLUE CROSS
PA
01
528636
AETNA
PA
01
P004493
GATEWAY
PW
Enumeration date
08/30/2006
Last updated
12/12/2018
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