Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | D0061976 | MD |
NPI | 1417057795 |
---|---|
Provider Name | Dr. Edward G. Magur |
First Address | Chevy Chase, MD 20815-6901 |
Second Address | Chevy Chase, MD 20815-6901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 18/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0785500001 | ADMINSTAR PROVIDER # (01) | MD |
14520008 | CARE1ST BC/BS PROVIDER # (01) | DC |
1455574000 | US DEPT OF LABOR PROVIDER (01) | MD |
H85764 | (02) | MD |