Individual
JOSEPH CHRISTOPHER MCGOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(205) 516-2256
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(205) 516-2256
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
APN0000025271
TN
Other
Enumeration date
12/27/2018
Last updated
07/07/2023
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