Healthcare Provider Details

I. General information

NPI: 1659541878
Provider Name (Legal Business Name): DR JOSEPH MCGINLEY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2008
Last Update Date: 11/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

856 INTERCHANGE RD
LEHIGHTON PA
18235-9286
US

IV. Provider business mailing address

856 INTERCHANGE RD
LEHIGHTON PA
18235-9286
US

V. Phone/Fax

Practice location:
  • Phone: 610-377-9020
  • Fax: 610-377-9784
Mailing address:
  • Phone: 610-377-9020
  • Fax: 610-377-9784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS012837
License Number StatePA

VIII. Authorized Official

Name: DR. JOSEPH MICHAEL MCGINLEY
Title or Position: PHYSICIAN
Credential: DO
Phone: 610-377-9020