Provider Demographics
NPI:1740630144
Name:MCNAUGHTON, NOBLE (MD)
Entity type:Individual
Prefix:
First Name:NOBLE
Middle Name:
Last Name:MCNAUGHTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1337 S 9TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-5741
Mailing Address - Country:US
Mailing Address - Phone:215-465-5491
Mailing Address - Fax:215-339-8626
Practice Address - Street 1:1337 S 9TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-5741
Practice Address - Country:US
Practice Address - Phone:215-465-5491
Practice Address - Fax:215-339-8626
Is Sole Proprietor?:No
Enumeration Date:2016-06-16
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD468471207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine