Healthcare Provider Details

I. General information

NPI: 1518911460
Provider Name (Legal Business Name): ALAN L MCGAUGHRAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 01/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 9TH ST
SALTSBURG PA
15681-8985
US

IV. Provider business mailing address

520 JEFFERSON AVE
JEANNETTE PA
15644-2538
US

V. Phone/Fax

Practice location:
  • Phone: 724-639-3541
  • Fax: 724-639-8318
Mailing address:
  • Phone: 724-527-8060
  • Fax: 724-522-4002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD036784E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: