Provider Demographics
NPI:1093823866
Name:MCGARRIGLE, ROBERT DANIEL (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DANIEL
Last Name:MCGARRIGLE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 EAST HUNT MASTER HOLLOW
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342
Mailing Address - Country:US
Mailing Address - Phone:610-299-6099
Mailing Address - Fax:610-891-1225
Practice Address - Street 1:101 EAST HUNT MASTER HOLLOW
Practice Address - Street 2:
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342
Practice Address - Country:US
Practice Address - Phone:610-299-6099
Practice Address - Fax:610-891-1225
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005405L208600000X
DEC20003105208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1127597Medicaid
DE000227106Medicaid
DE665600Medicare ID - Type Unspecified
B39331Medicare UPIN