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Individual

MARY C MCCARTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
30 EAST APPLE STREET, SUITE 5253, DAYTON, OH 45409
(937) 208-2552
(937) 208-6154
Mailing address
725 UNIVERSITY BLVD, DAYTON, OH 45435-0001
(937) 245-7100
(937) 245-7999

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35060950
OH
2086S0102X
Surgical Critical Care Physician
35060950
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0814882
OH
Enumeration date
04/26/2006
Last updated
12/16/2013
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