Basic Information
| Provider Information | |||||||||
| NPI: | 1942693635 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MAURA F. MCGRANE M.D., P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 83 HERRICK ST | ||||||||
| Address2: | SUITE 2001 | ||||||||
| City: | BEVERLY | ||||||||
| State: | MA | ||||||||
| PostalCode: | 019152757 | ||||||||
| CountryCode: | US | ||||||||
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| Address1: | 83 HERRICK ST | ||||||||
| Address2: | |||||||||
| City: | BEVERLY | ||||||||
| State: | MA | ||||||||
| PostalCode: | 019152757 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9789229778 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/05/2015 | ||||||||
| LastUpdateDate: | 03/05/2015 | ||||||||
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| AuthorizedOfficialLastName: | MCGRANE | ||||||||
| AuthorizedOfficialFirstName: | MAURA | ||||||||
| AuthorizedOfficialMiddleName: | F. | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9789229778 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VG0400X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology |
No ID Information.