Individual
MADISON MCGOURTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP01003300
NJ
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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