Individual
ADAM CHARLES MAGNUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 S 5TH AVE, WEST READING, PA 19611-2143
(484) 628-8269
Mailing address
HANOVER ANESTHESIA AND PAIN MANAGEMENT, 250 FAME AVENUE # 110, HANOVER, PA 17331
(717) 632-9955
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D0057163
MD
207L00000X
Anesthesiology Physician
Primary
MD436288
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
D0057163
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
613896 04
CAREFIRST BCBS MD
MD
05
—
699338900
—
MD
01
—
KBC1CH
CAREFIRST BCBS (MD)
MD
01
—
P00130964
RR MEDICARE (GRP PTAN CJ8689)
MD
01
—
P00790023
RR MEDICARE (GRP PTAN DD6120)
MD
01
—
S417 0003
CAREFIRST BCBS (DC)
DC
Enumeration date
10/26/2005
Last updated
08/21/2024
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