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Individual

DR. J EDWARD DAGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 233-4082
Mailing address
PO BOX 854, MC A410, HERSHEY, PA 17033-0854
(800) 233-4082

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD017601E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007397920002
PA
01
03250401
CAPITAL BLUE CROSS
PA
01
095786
BLUE SHIELD
PA
01
2801
HEALTH AMERICA/ASSURANCE
PA
01
527353
AETNA
PA
01
9390390
CIGNA
PA
01
991660
KEYSTONE
PA
Enumeration date
05/17/2006
Last updated
03/11/2010
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