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NPI Code Detail

MEDICARE: PAMELA A MAGUIRE MD

MEDICARE: PAMELA A MAGUIRE MD
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
12085R0202XDiagnostic Radiology Physician35048227OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000341986OTHEROHBC/BS INDIVDUAL PIN NO

General Provider Information

NPI Number : 1689674434
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA A MAGUIRE MD
Provider Business Mailing Address
First Line : PO BOX 20238
Second Line :
City : CANTON
State : OH
Zip : 44701-0238
Country : US
Telephone Number : 866-684-1492
Fax Number :
Provider Business Practice Location Address
First Line : 1761 BEALL AVE
Second Line :
City : WOOSTER
State : OH
Zip : 44691-2342
Country : US
Telephone Number : 330-263-8499
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 08/24/2010

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Directions to “ PAMELA A MAGUIRE MD” Practice Location

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