DR. MARY L. GAVIN MD NPI 1881784528

NPI Information

NPI: 1881784528
Provider Name: DR. MARY L. GAVIN, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
3855 WEST CHESTER PIKE, SUITE 280
NEMOURS DUPONT PEDIATRICS, NEWTON SQUARE
NEWTON SQUARE, PA
ZIP 19073
Phone: (610) 557-4800
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DR. Mary L. Gavin, MD is a pediatrics in Newton Square, PA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Mary L. Gavin, MD NPI is 1881784528. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3855 WEST CHESTER PIKE, SUITE 280
NEMOURS DUPONT PEDIATRICS, NEWTON SQUARE
NEWTON SQUARE, PA
ZIP 19073-304
Phone: (610) 557-4800
Fax: (302) 651-4945

The enumeration date for this NPI number is 10/13/2006 and was last updated on 10/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		C10006711	DELAWARE	No
2	208000000X	Pediatrics		MD418266	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	36790	MEDICAID	NEW JERSEY
2	4053079	MEDICAID	MARYLAND
3	F63030	MEDICARE UPIN
4	101018361	MEDICAID	PENNSYLVANIA
5	014633T34	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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