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Individual

DR. JEFFERY A DEBUQUE

Active
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Individual

DR. JEFFERY A DEBUQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS006842L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0013929700004
PA
01
110118140
PALMETTO RR
PA
01
50004486
CAPITAL BLUE CROSS
PA
01
580372
HIGHMARK PA BLUE SHIELD
PA
Enumeration date
05/18/2006
Last updated
06/23/2025
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