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Individual

LUCIAN V DAJDEA

Active
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Individual

LUCIAN V DAJDEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
153356
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0056085
GHI
05
00811945
NY
01
12D481
BCBS
01
153356
HIP
01
4117285
AETNA
01
4C3684
HEALTHNET
01
6604339004
CIGNA
01
DP008
OXF
Enumeration date
03/21/2006
Last updated
07/08/2007
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