Individual
MARY MCGAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
191 INDEPENDENCE AVE, QUINCY, MA 02169-7751
(617) 773-5070
(617) 472-2380
Mailing address
191 INDEPENDENCE AVE, QUINCY, MA 02169-7751
(617) 773-5070
(617) 472-2380
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
75412
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075412
TUFHTS HEALTH PLAN
MA
01
—
20728
HPHC
MA
05
—
3092887
—
MA
01
—
J12178
BLUE SHIELD OF MA
MA
Enumeration date
11/02/2005
Last updated
02/19/2013
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