Organization Name: | MICHAEL O. MAGAN MD PA |
NPI Number: | 1023330792 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL OSWALD MAGAN (PRESIDENT) |
Mailing Address: | 120 Sister Pierre Dr Suite 303 Towson |
State: | MD US |
Postal Code: | 212047516 |
Phone Number: | 4103379003 |
Fax Number: | 4103379005 |
NPI Enumeration Date: | 02/23/2010 |
NPI Last Update Date: | 02/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | D0012429 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |