Provider Demographics
NPI:1780918375
Name:MCGINLEY, MOLLIE (MD)
Entity type:Individual
Prefix:DR
First Name:MOLLIE
Middle Name:
Last Name:MCGINLEY
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 1:1835 ARCH ST
Mailing Address - Street 2:APARTMENT 305
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-2712
Mailing Address - Country:US
Mailing Address - Phone:215-435-5689
Mailing Address - Fax:
Practice Address - Street 1:1835 ARCH ST
Practice Address - Street 2:APARTMENT 305
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-2712
Practice Address - Country:US
Practice Address - Phone:215-435-5689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT1856232085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology