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Individual

MARIA ANTONINA MCGOWAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
354 MOUNTAIN VIEW DR STE 300, COLCHESTER, VT 05446-5988
(802) 864-0192
(802) 860-4919
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404-6220

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0550030608
VT
207N00000X
Dermatology Physician
341425-01
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/27/2012
Last updated
02/16/2026
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