Provider Demographics
NPI:1437156577
Name:MAGDYCZ, WILLIAM PAUL JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:PAUL
Last Name:MAGDYCZ
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:213 S JEFFERSON ST STE 1006
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24011-1713
Mailing Address - Country:US
Mailing Address - Phone:540-224-5715
Mailing Address - Fax:
Practice Address - Street 1:NAVAL MEDICAL CENTER PORTSMOUTH
Practice Address - Street 2:620 JOHN PAUL JONES CIRCLE
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23708-2197
Practice Address - Country:US
Practice Address - Phone:757-953-2831
Practice Address - Fax:757-953-0166
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2022-08-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA73576207Y00000X
TN35087207Y00000X
KY35273207Y00000X
VA0101240579207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H34525Medicare UPIN