Individual
DR. JAN MCGONAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1245 ELM ST, MANCHESTER, NH 03101-1308
(603) 860-3832
(833) 448-0645
Mailing address
145 HOLLIS ST, MANCHESTER, NH 03101-1235
(603) 860-3832
(833) 448-0645
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0420010669
VT
208000000X
Pediatrics Physician
9425
NH
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
9425
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30008409
—
NH
05
—
ORE3780
—
VT
Enumeration date
07/18/2006
Last updated
11/18/2025
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