Healthcare Provider Details

I. General information

NPI: 1801024955
Provider Name (Legal Business Name): MARY MARGARETTE NAGUIT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2009
Last Update Date: 10/08/2020
Certification Date: 10/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 SOUTHPOINTE BLVD STE 235
CANONSBURG PA
15317-8588
US

IV. Provider business mailing address

400 SOUTHPOINTE BLVD STE 235
CANONSBURG PA
15317-8588
US

V. Phone/Fax

Practice location:
  • Phone: 724-271-3700
  • Fax: 724-271-3704
Mailing address:
  • Phone: 724-271-3700
  • Fax: 724-271-3704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD449917
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: