Individual
GEORGE JEROME MAGOVERN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-8820
(412) 359-8222
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-8820
(412) 359-8222
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD033497E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001022906
—
PA
01
—
10931561
CAQH
—
Enumeration date
08/03/2005
Last updated
10/07/2020
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