MEDICARE: MEGAN MAHON MCQUARRIE 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
1	207Q00000X	Family Medicine Physician	25MA11570400	NJ
2	207QS0010X	Sports Medicine (Family Medicine) Physician	25MA11570400	NJ

General Provider Information

NPI Number	:	1932605581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN MAHON MCQUARRIE MD

Provider Business Mailing Address
First Line	:	1 E. NEW YORK AVE
Second Line	:
City	:	SOMERS POINT
State	:	NJ
Zip	:	08244
Country	:	US
Telephone Number	:	609-653-3265
Fax Number	:	609-926-4311

Provider Business Practice Location Address
First Line	:	1645 HAVEN AVE STE C
Second Line	:
City	:	OCEAN CITY
State	:	NJ
Zip	:	08226-3066
Country	:	US
Telephone Number	:	609-399-6263
Fax Number	:

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

Provider Enumeration Date	:	04/03/2018
Last Update Date	:	11/20/2023

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