Healthcare Provider Details

I. General information

NPI: 1134269558
Provider Name (Legal Business Name): PAUL L MAGUIRE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 WASHINGTON ST
DOVER NH
03820-3809
US

IV. Provider business mailing address

55 WASHINGTON ST
DOVER NH
03820-3809
US

V. Phone/Fax

Practice location:
  • Phone: 603-749-3244
  • Fax: 603-743-1850
Mailing address:
  • Phone: 603-749-3244
  • Fax: 603-743-1850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number11253
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: