Individual
MATTHEW GERARD MCKEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 1 SILVERSTEIN, NEURORADIOLOGY DIVISION, PHILADELPHIA, PA 19104-4238
(267) 862-3000
Mailing address
1505 S JUNIPER ST, PHILADELPHIA, PA 19147-6217
(314) 518-2958
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.068925
IL
2085N0700X
Neuroradiology Physician
Primary
MD475806
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2016
Last updated
06/30/2022
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