Individual
PAUL CHRISTOPHER MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 N 39TH ST, 3910 BUILDING, 2ND FLOOR, PHILADELPHIA, PA 19104-2640
(215) 662-9990
(215) 243-4658
Mailing address
51 N 39TH ST, 3910 BUILDING, 2ND FLOOR, PHILADELPHIA, PA 19104-2640
(215) 662-9990
(215) 243-4658
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD066905L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018751260001
—
PA
Enumeration date
07/06/2006
Last updated
03/02/2012
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