Takla, Madgy
Takla, Madgy is an individual health care provider with primary practice located at 1 Cooper Plz Cooper Anesthesia Associates, Camden NJ 08103-1461. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Takla, Madgy can be contacted via phone (856) 342-2425.Contact Information
Primary practice address
1 Cooper Plz Cooper Anesthesia Associates
Camden NJ 08103-1461
Phone: (856) 342-2425
Fax: (856) 968-8326
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 25MA06264500 | New Jersey |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 25MA06264500 | New Jersey |
Profile Details
NPI number | 1396771283 |
---|---|
LBN Legal business name | Takla, Madgy |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2006 |
Last updated | Apr 16th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396771283 | NPPES |
New Jersey | MEDICAID | 8783501 | |
New Jersey | Other | 010007776 | |
New Jersey | Other | 1121097 | |
New Jersey | Other | 2075003000 | |
New Jersey | Other | P3722605 | |
New Jersey | Other | 1121106 | |
New Jersey | Other | 2735366 | |
New Jersey | Other | 2816920 | |
New Jersey | Other | 1384269 | |
New Jersey | Other | 60022562 |
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