Mcgaugh, Mary
Mcgaugh, Mary is an individual health care provider with primary practice located at 191 Independence Ave , Quincy MA 02169-7751. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mcgaugh, Mary can be contacted via phone (617) 773-5070.Contact Information
Primary practice address
191 Independence Ave
Quincy MA 02169-7751
Phone: (617) 773-5070
Fax: (617) 472-2380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 75412 | Massachusetts |
Profile Details
| NPI number | 1124019765 |
|---|---|
| LBN Legal business name | Mcgaugh, Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Feb 19th, 2013 - about 11 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 | 1124019765 | NPPES |
| Massachusetts | Other | 075412 | TUFHTS HEALTH PLAN |
| Massachusetts | MEDICAID | 3092887 | TUFHTS HEALTH PLAN |
| Massachusetts | Other | J12178 | TUFHTS HEALTH PLAN |
| Massachusetts | Other | 20728 | TUFHTS HEALTH PLAN |
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