Individual
MAUREEN A MCTIGUE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 488-0066
(201) 488-6769
Mailing address
292 ATLANTIC ST, HACKENSACK, NJ 07601-2103
(201) 488-0066
(201) 488-6769
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MB05791500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01950132
—
NY
01
—
1111812
HORIZON NJ HEALTH- MERCY
NJ
01
—
1518020
AMERIHEALTH- PPO
NJ
01
—
2205437000
AMERIHEALTH- HMO
NJ
01
—
37613
AMERIGROUP
NJ
05
—
7550103
—
NJ
Enumeration date
12/02/2005
Last updated
07/08/2007
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