Provider Demographics
NPI:1205995651
Name:JOHN F MCGEOUGH, MD
Entity type:Organization
Organization Name:JOHN F MCGEOUGH, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:MCGEOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:207-729-8442
Mailing Address - Street 1:85 BARIBEAU DR
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-3249
Mailing Address - Country:US
Mailing Address - Phone:207-729-8442
Mailing Address - Fax:207-729-5219
Practice Address - Street 1:85 BARIBEAU DR
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-3249
Practice Address - Country:US
Practice Address - Phone:207-729-8442
Practice Address - Fax:207-729-5219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty