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NPI Code Detail

MEDICARE: MS. MARY MCGUIGAN

MEDICARE: MS. MARY MCGUIGAN
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
1225XG0600XGerontology Occupational Therapist2278MA

General Provider Information

NPI Number : 1184057051
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY MCGUIGAN
Provider Business Mailing Address
First Line : 695A MAIN ST
Second Line :
City : WAKEFIELD
State : MA
Zip : 01880-5204
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 266 LINCOLN AVE
Second Line :
City : SAUGUS
State : MA
Zip : 01906-3037
Country : US
Telephone Number : 781-233-6830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2013
Last Update Date : 08/15/2013

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