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Individual

JEFFREY R. MCCONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD036203E
PA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD036203E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0019478600004
PA
01
0729687000
KEYSTONE EAST
PA
01
0962542
CIGNA
PA
01
200046150
RAILROAD MEDICARE
PA
01
4357330
AETNA
PA
01
478769
BLUE SHIELD
PA
01
50010433
BLUE CROSS
PA
01
78711
GEISINGER
PA
01
821246
FIRST PRIORITY HEALTH
PA
01
P2949827
OXFORD
PA
Enumeration date
08/22/2005
Last updated
09/10/2018
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