Maggioncalda, John B

Maggioncalda, John B is an individual health care provider with primary practice located at 11110 Medical Campus Rd Ste 228 , Hagerstown MD 21742-6727. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Maggioncalda, John B can be contacted via phone (301) 733-0022.

Contact Information

Primary practice address
11110 Medical Campus Rd Ste 228 Hagerstown MD 21742-6727
Phone: (301) 733-0022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD425843 Pennsylvania
Allopathic & Osteopathic Physicians / Urology 208800000X 0101257989 Virginia
Allopathic & Osteopathic Physicians / Urology 208800000X D88639 Maryland

Profile Details

NPI number 1346239472
LBN Legal business name Maggioncalda, John B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Oct 6th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346239472 NPPES
Pennsylvania MEDICAID 102267675
Pennsylvania Other 50075232

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