Individual
JONATHAN MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5 BUCKNAM RD, FALMOUTH, ME 04105-1392
(207) 781-1551
Mailing address
5 BUCKNAM RD, FALMOUTH, ME 04105-1392
(207) 781-1551
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA1968
ME
Other
Enumeration date
07/23/2019
Last updated
09/19/2023
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