Provider Demographics
NPI:1801024955
Name:NAGUIT, MARY MARGARETTE (MD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:MARGARETTE
Last Name:NAGUIT
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 1:400 SOUTHPOINTE BLVD STE 235
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-8588
Mailing Address - Country:US
Mailing Address - Phone:724-271-3700
Mailing Address - Fax:724-271-3704
Practice Address - Street 1:400 SOUTHPOINTE BLVD STE 235
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-8588
Practice Address - Country:US
Practice Address - Phone:724-271-3700
Practice Address - Fax:724-271-3704
Is Sole Proprietor?:No
Enumeration Date:2009-06-28
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD449917207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102863623Medicaid
PA316062R7RMedicare PIN