Provider Demographics
NPI:1811955776
Name:MAGAURAN, MAUREEN F (MD)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:F
Last Name:MAGAURAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:258 BRIDGES LN
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-2223
Mailing Address - Country:US
Mailing Address - Phone:978-494-6494
Mailing Address - Fax:
Practice Address - Street 1:258 BRIDGES LN
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-2223
Practice Address - Country:US
Practice Address - Phone:978-494-6494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-02
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2126462084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry