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Individual

DR. MAUREEN ANN BANIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(808) 721-9041
Mailing address
201 S 25TH ST APT 219, PHILADELPHIA, PA 19103-6004
(808) 721-9041

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD045023
DC
208000000X
Pediatrics Physician
MD464088
PA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MT214935
PA

Other

Enumeration date
04/14/2014
Last updated
06/14/2018
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