Mahoney, Eric J
Mahoney, Eric J is an individual health care provider with primary practice located at 725 Albany St Shapiro Suite 3A, Boston MA 02118-2526. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Mahoney, Eric J can be contacted via phone (617) 414-4861.Contact Information
Primary practice address
725 Albany St Shapiro Suite 3A
Boston MA 02118-2526
Phone: (617) 414-4861
Fax: (617) 414-3617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 232749 | Massachusetts |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 232749 | Massachusetts |
Profile Details
| NPI number | 1568681328 |
|---|---|
| LBN Legal business name | Mahoney, Eric J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2007 |
| Last updated | May 11th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568681328 | NPPES |
| Massachusetts | MEDICAID | 110077504A |
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