Individual
DR. HERMAN IVORY MCGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
923 MAC DADE BLVD, COLLINGDALE, PA 19023
(610) 522-1222
(610) 532-3918
Mailing address
923 MAC DADE BLVD, COLLINGDALE, PA 19023
(610) 522-1222
(610) 532-3918
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD024830E
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD024830E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000863176001
—
PA
Enumeration date
10/20/2006
Last updated
07/20/2010
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