Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | MD053757L | PA |
NPI | 1053382366 |
---|---|
Provider Name | Dr. Mark R. Mclaughlin |
First Address | Langhorne, PA 19047-1209 |
Second Address | Langhorne, PA 19047-1209 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 27/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G98404 | (02) | |
MD053757L | STATE - PENNS. (01) | PA |