Organization
PHILIP J MCGANN MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP JOHN MCGANN M.D. (MEDICAL DIRECTOR)
(301) 662-3721
Entity
Organization
Contact information
Practice address
1003 W 7TH ST, #400, FREDERICK, MD 21701-8532
(301) 662-3721
(301) 631-5668
Mailing address
1003 W 7TH ST, #400, FREDERICK, MD 21701-8532
(301) 662-3721
(301) 631-5668
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
D0029921
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
463421700
—
MD
Enumeration date
10/04/2006
Last updated
08/20/2008
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