Maggioncalda, Joseph A

Maggioncalda, Joseph A is an individual health care provider with primary practice located at 809 82Nd Pkwy , Myrtle Beach SC 29572-4607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Maggioncalda, Joseph A can be contacted via phone (843) 692-1062.

Contact Information

Primary practice address
809 82Nd Pkwy Myrtle Beach SC 29572-4607
Phone: (843) 692-1062
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 019788 South Carolina

Profile Details

NPI number 1578658944
LBN Legal business name Maggioncalda, Joseph A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Mar 7th, 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 1578658944 NPPES
South Carolina MEDICAID 197888
South Carolina MEDICAID 7906574

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