Provider Demographics
NPI:1508912049
Name:MCGUIRE, TERENCE ALOYSIUS (MD)
Entity Type:Individual
Prefix:DR
First Name:TERENCE
Middle Name:ALOYSIUS
Last Name:MCGUIRE
Suffix:
Gender:M
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:PO B 69
Mailing Address - Street 2:2935 DAVIDSONVILLE RD
Mailing Address - City:DAVIDSONVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21035-0069
Mailing Address - Country:US
Mailing Address - Phone:410-798-9819
Mailing Address - Fax:410-798-9819
Practice Address - Street 1:2935 DAVIDSONVILLE RD
Practice Address - Street 2:
Practice Address - City:DAVIDSONVILLE
Practice Address - State:MD
Practice Address - Zip Code:21035-0069
Practice Address - Country:US
Practice Address - Phone:410-798-9819
Practice Address - Fax:410-798-9819
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0009196208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MC173659Medicare ID - Type Unspecified
C62259Medicare UPIN