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Individual

DR. JOHN PETER JURTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
33 E GREEN STREET, NANTICOKE, PA 18634-2414
(570) 735-8002
(570) 735-8036
Mailing address
33 E GREEN STREET, NANTICOKE, PA 18634-2414
(570) 735-8002
(570) 735-8036

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002862L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010387640001
PA
01
0081405
BCBS
PA
01
10071
GEISINGER
PA
01
1079054
AETNA
01
20037019
AMERIHEALTH MERCY
01
240117
AETNA PHS
PA
01
4558691
AETNA PPO POS
PA
01
818743
BS 1ST PRIORITY
PA
01
857264
AETNA HMO
PA
Enumeration date
01/10/2006
Last updated
05/05/2008
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