Provider Demographics
NPI:1710258918
Name:MCGONIGLE, ROSEMARY BRENNAN (APN)
Entity type:Individual
Prefix:MRS
First Name:ROSEMARY
Middle Name:BRENNAN
Last Name:MCGONIGLE
Suffix:
Gender:F
Credentials:APN
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Mailing Address - Street 1:134 BRIDGETON PIKE STE C
Mailing Address - Street 2:
Mailing Address - City:MULLICA HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08062-2616
Mailing Address - Country:US
Mailing Address - Phone:856-507-2783
Mailing Address - Fax:856-221-4138
Practice Address - Street 1:364 BERLIN CROSS KEYS RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08094-3473
Practice Address - Country:US
Practice Address - Phone:856-885-2790
Practice Address - Fax:856-221-4108
Is Sole Proprietor?:No
Enumeration Date:2012-01-19
Last Update Date:2024-06-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PARN288228L163W00000X
NJ26NR07189100163W00000X
NJ26NJ00713900363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse