Provider Demographics
NPI:1548275423
Name:BERRIGAN, MAUREEN MOOSBRUGGER (MD)
Entity type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:MOOSBRUGGER
Last Name:BERRIGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MAUREEN
Other - Middle Name:ANNE
Other - Last Name:MOOSBRUGGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:167 BLUFFTON RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-6227
Mailing Address - Country:US
Mailing Address - Phone:843-597-4799
Mailing Address - Fax:
Practice Address - Street 1:167 BLUFFTON RD
Practice Address - Street 2:SUITE G
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-6227
Practice Address - Country:US
Practice Address - Phone:843-597-4799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC27781208000000X
GA53502208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics