Individual
TERRANCE MCGINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
746 JEFFERSON AVE, REGIONAL HOSPITAL OF SCRANTON, SCRANTON, PA 18510-1624
(570) 348-7100
Mailing address
3998 FAIR RIDGE DR, STE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
RN201822L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN201822L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073881150001
—
PA
01
—
P00732788
RR MEDICARE
PA
Enumeration date
01/04/2006
Last updated
03/12/2015
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