Organization
AISLING GAUGHAN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AISLING GAUGHAN M.D. (PRESIDENT)
(978) 369-9401
Entity
Organization
Contact information
Practice address
101 THOREAU ST, CONCORD, MA 01742-2443
(978) 369-9401
Mailing address
101 THOREAU ST, CONCORD, MA 01742-2443
(978) 369-9401
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
78533
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200455
—
MA
Enumeration date
01/29/2007
Last updated
08/22/2020
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