Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D0065098 | MD |
N | 111NI0900X | Internist | D0065098 | MD |
Y | 207RN0300X | Nephrologist | D0065098 | MD |
NPI | 1013014802 |
---|---|
Provider Name | Dr. Eugene Aloysius Magee IV |
First Address | Upper Marlboro, MD 20772-3670 |
Second Address | Upper Marlboro, MD 20772-3670 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 17/03/2018 |