Individual
MAUREEN MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 STONEWOOD DR STE 151, WEXFORD, PA 15090-7376
(724) 933-0300
(724) 933-0456
Mailing address
7000 STONEWOOD DR STE 151, WEXFORD, PA 15090-7376
(724) 933-0300
(724) 933-0456
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA056976
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093733933
GROUP NPI
PA
Enumeration date
07/31/2014
Last updated
07/31/2014
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