Individual
MR. BRIAN DECLAN MEAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
207 FOOTE AVE, JAMESTOWN, NY 14701-7077
(716) 421-0141
Mailing address
15 S MAIN ST STE 250, P O BOX 788, JAMESTOWN, NY 14701-6627
(716) 664-9731
(716) 664-9160
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
199207
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01568143
—
NY
01
—
1992072WDRDRA
WORKERS COMPENSATION
NY
Enumeration date
10/04/2005
Last updated
12/12/2013
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