# J. GERALD MEAGHER MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093968000
- **Authorized official:** DR. J.GERALD MEAGHER MD (PRESIDENT)
- **Authorized official phone:** (631) 368-2828

## Contact information

- **Practice address:** 635 PULASKI RD, GREENLAWN, NY 11740-1703
- **Practice address phone:** (631) 368-2828
- **Practice address fax:** (631) 368-2042
- **Mailing address:** 635 PULASKI RD, GREENLAWN, NY 11740-1703
- **Mailing address phone:** (631) 368-2828
- **Mailing address fax:** (631) 368-2042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 78545 | NY | Yes |

## Other

- **Enumeration date:** 11/04/2008
- **Last updated:** 11/04/2008