Individual
DR. JOHN W MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1841 S BROAD ST, PHILADELPHIA, PA 19148-2115
(215) 465-8800
(215) 465-8814
Mailing address
1841 S BROAD ST, PHILADELPHIA, PA 19148-2115
(215) 465-8800
(215) 465-8814
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
OS007444L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075517SBS
PTAN
NJ
01
—
676967KD4
PTAN
PA
Enumeration date
05/30/2006
Last updated
03/25/2015
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