Gaughan, William J

Gaughan, William J is an individual health care provider with primary practice located at 5501 Old York Rd Levy Grd Floor, Philadelphia PA 19141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Gaughan, William J can be contacted via phone (215) 456-6970.

Contact Information

Primary practice address
5501 Old York Rd Levy Grd Floor Philadelphia PA 19141
Phone: (215) 456-6970
Fax: (215) 456-7154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD031609E Pennsylvania

Profile Details

NPI number 1255390035
LBN Legal business name Gaughan, William J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jan 6th, 2011 - about 13 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 1255390035 NPPES
Pennsylvania MEDICAID 001282520

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