Individual
MARY KATHERINE MCGONAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3805 W CHESTER PIKE, BLDG D, SUITE 120, NEWTOWN SQUARE, PA 19073-2329
(800) 257-0117
(610) 550-3079
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(800) 257-0117
(610) 550-3079
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
OS013614
PA
Other
Enumeration date
05/23/2006
Last updated
09/23/2014
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