Individual
JOHN MICHAEL GEOGHEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 349-8310
(215) 662-2739
Mailing address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 349-8310
(215) 662-2739
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN697248
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN697248
PA
Other
Enumeration date
02/07/2025
Last updated
03/04/2026
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