Provider Demographics
NPI:1609854157
Name:MCLAUGHLIN, JOHN PATRICK (DO)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PATRICK
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4760 UNION DEPOSIT RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-3744
Mailing Address - Country:US
Mailing Address - Phone:717-545-9811
Mailing Address - Fax:717-545-1873
Practice Address - Street 1:4760 UNION DEPOSIT RD
Practice Address - Street 2:SUITE 100
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111-3744
Practice Address - Country:US
Practice Address - Phone:717-545-9811
Practice Address - Fax:717-545-1873
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS003871L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00005867550004Medicaid
PA00005867550004Medicaid
PAD68810Medicare UPIN