Individual
BRIAN PATRICK MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 N CLAYTON ST, MSB SUITE 200, WILMINGTON, DE 19805-3165
(302) 575-8040
(302) 575-8005
Mailing address
PO BOX 824804, PHILADELPHIA, PA 19182-4804
(302) 575-8040
(302) 575-8005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C10002808
DE
Other
Enumeration date
08/07/2006
Last updated
05/17/2021
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