Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | MD041662E | PA |
NPI | 1154382877 |
---|---|
Provider Name | Dr. Henry C. Maguire |
First Address | Danville, PA 17822-4903 |
Second Address | Danville, PA 17822-1405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 30/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001440414 | (05) | PA |
E62069 | (02) |