Healthcare Provider Details

I. General information

NPI: 1699977918
Provider Name (Legal Business Name): PETER JOSEPH MCGUIRE MS, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 01/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NATIONAL INSTITUTES OF HEALTH 49 CONVENT DRIVE, 4A62
BETHESDA MD
20892-0001
US

IV. Provider business mailing address

NATIONAL INSTITUTES OF HEALTH 49 CONVENT DRIVE, 4A62
BETHESDA MD
20892-0001
US

V. Phone/Fax

Practice location:
  • Phone: 301-451-7716
  • Fax: 301-402-2170
Mailing address:
  • Phone: 301-451-7716
  • Fax: 301-402-2170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207SG0202X
TaxonomyClinical Biochemical Genetics Physician
License Number241635
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number241635
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: