MEDICARE: ROBERT C MCGRATH DO

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
1	207Q00000X	Family Medicine Physician	OS0004578L	PA

General Provider Information

NPI Number	:	1912110636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT C MCGRATH DO

Provider Business Mailing Address
First Line	:	39 UNITY SQ
Second Line	:
City	:	GREENSBURG
State	:	PA
Zip	:	15601-9577
Country	:	US
Telephone Number	:	724-837-3210
Fax Number	:	814-443-8161

Provider Business Practice Location Address
First Line	:	654 W CUTHBERT BLVD
Second Line	:
City	:	HADDON TOWNSHIP
State	:	NJ
Zip	:	08108-3642
Country	:	US
Telephone Number	:	856-528-9838
Fax Number	:	856-854-9192

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	11/12/2015

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