Provider Information for 1417632530
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EMILY MAGUSIAK
Sex: Female
NPI: 1417632530
Last Updated: 2023-06-16
Certification Date: 2023-06-16
Certification Date: 2023-06-16
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1417632530 | ||||||||
| Enumeration Date | 2023-06-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 129 WELTY DR NEW KENSINGTON, PA 15068-6719 United States Phone: 724-877-0577 | Fax: | ||||||||
| Primary Practice Address | 129 WELTY DR NEW KENSINGTON, PA 15068-6719 United States Phone: 724-877-0577 | Fax: | ||||||||
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