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NPI Code Detail

MEDICARE: PAULINA MARIA MAGER PA-C

MEDICARE:   PAULINA MARIA MAGER  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1750999645
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULINA MARIA MAGER PA-C
Provider Business Mailing Address
First Line : 52 PENNWOOD DR APT E
Second Line :
City : ROCHESTER
State : NY
Zip : 14625-2527
Country : US
Telephone Number : 585-490-0787
Fax Number :
Provider Business Practice Location Address
First Line : 52 PENNWOOD DR APT E
Second Line :
City : ROCHESTER
State : NY
Zip : 14625-2527
Country : US
Telephone Number : 585-490-0787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2020
Last Update Date : 07/17/2020

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Directions to “ PAULINA MARIA MAGER PA-C” Practice Location

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