Individual
MAUREEN ANN GAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5 TARKILN ROAD, KINGSTON, MA 02364-1250
(781) 585-1784
(781) 585-2200
Mailing address
75 WASHINGTON ST, NORWELL, MA 02061-1795
(781) 878-5200
(781) 878-2650
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
92659
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0391000
—
MA
01
—
SS0058
BCBSMA
MA
Enumeration date
10/04/2005
Last updated
01/10/2011
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