Individual
DR. MAURA ROSE MCTAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-4055
Mailing address
5700 ARLINGTON AVE, APARTMENT 2D, BRONX, NY 10471-1503
(917) 376-7031
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
309885
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2013
Last updated
02/16/2022
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