Provider Demographics
NPI:1962404681
Name:MCLAUGHLIN, RAYMOND STEPHEN (MD)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:STEPHEN
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:701 E BALTIMORE PIKE
Mailing Address - Street 2:SUITE D
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-2400
Mailing Address - Country:US
Mailing Address - Phone:610-444-4060
Mailing Address - Fax:610-444-4648
Practice Address - Street 1:701 E BALTIMORE PIKE
Practice Address - Street 2:SUITE D
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-2400
Practice Address - Country:US
Practice Address - Phone:610-444-4060
Practice Address - Fax:610-444-4648
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD035113E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC34833Medicare UPIN
PA532506Medicare PIN