Provider Demographics
NPI:1184997512
Name:ARTHUR T MAGRANN DO PA
Entity type:Organization
Organization Name:ARTHUR T MAGRANN DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGRANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-951-6800
Mailing Address - Street 1:2414 BEE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-6303
Mailing Address - Country:US
Mailing Address - Phone:941-951-6800
Mailing Address - Fax:
Practice Address - Street 1:2414 BEE RIDGE RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-6303
Practice Address - Country:US
Practice Address - Phone:941-951-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL82500Medicare PIN