Individual
MRS. KAREN PATRICE MCGOUGAIN-DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
385 BROAD ST, SEWAREN, NJ 07077-1425
(347) 834-0446
Mailing address
385 BROAD STREET, SEWAREN, NJ 07077
(347) 834-0446
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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