Provider Demographics
NPI:1164522025
Name:MCGUIRE, MAURA J (MD)
Entity type:Individual
Prefix:DR
First Name:MAURA
Middle Name:J
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9910 FRANKLIN SQUARE DR # 2110
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4902
Mailing Address - Country:US
Mailing Address - Phone:410-933-5412
Mailing Address - Fax:410-933-1390
Practice Address - Street 1:3100 WYMAN PARK DR
Practice Address - Street 2:INTERNAL MEDICINE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211
Practice Address - Country:US
Practice Address - Phone:410-338-3000
Practice Address - Fax:410-338-3000
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2018-06-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD33307207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD403211000Medicaid
E21334Medicare UPIN
BX06Medicare ID - Type Unspecified