Individual
JOSEPH MOTACKI
Active
Individual
JOSEPH MOTACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD422709
PA
2084P0805X
Geriatric Psychiatry Physician
Primary
MD422709
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101249144
—
PA
01
—
1729356
PA BLUE SHIELD
PA
01
—
2144098
MAMSI
PA
01
—
2234318
CIGNA BEHAVIORAL HEALTH
PA
01
—
50048786
CAPITAL BLUE CROSS
PA
01
—
537536
VALUE OPTIONS
PA
01
—
645695 (01)
BC/BS OF MD CARE FIRST
PA
01
—
794369000
MAGELLAN
PA
01
—
P00289411
MEDICARE RAILROAD
PA
Enumeration date
06/10/2006
Last updated
07/08/2010
Update your record
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