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NPI Code Detail

MEDICARE: ROBERT MCGANN

MEDICARE:   ROBERT  MCGANN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianOS010316LPA

General Provider Information

NPI Number : 1093769010
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT MCGANN
Provider Business Mailing Address
First Line : 3120 WILMINGTON RD
Second Line :
City : NEW CASTLE
State : PA
Zip : 16105
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3120 WILMINGTON RD
Second Line :
City : NEW CASTLE
State : PA
Zip : 16105-1168
Country : US
Telephone Number : 724-658-5311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2006
Last Update Date : 03/25/2021

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Directions to “ ROBERT MCGANN ” Practice Location

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