Provider Demographics
NPI:1811991284
Name:MCGEE, JOHN R (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:R
Last Name:MCGEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1160 KENNEDY BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-3128
Mailing Address - Country:US
Mailing Address - Phone:201-443-8988
Mailing Address - Fax:201-443-8986
Practice Address - Street 1:1160 KENNEDY BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-3128
Practice Address - Country:US
Practice Address - Phone:201-443-8988
Practice Address - Fax:201-443-8986
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2014-01-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA55030207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5109302Medicaid
NJ5109302Medicaid
NJF02580Medicare UPIN