Provider Demographics
NPI:1891713632
Name:MCLAUGHLIN, MARILYN ANGELA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:ANGELA
Last Name:MCLAUGHLIN
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 1:15 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-1011
Mailing Address - Country:US
Mailing Address - Phone:207-351-3777
Mailing Address - Fax:207-351-3788
Practice Address - Street 1:15 HOSPITAL DRIVE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-2057
Practice Address - Country:US
Practice Address - Phone:207-351-3777
Practice Address - Fax:207-351-3788
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214127174400000X
ME20300207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME102100000Medicaid
ME200020Medicare UPIN
ME102100000Medicaid