Mahoney, Maria M
Mahoney, Maria M is an individual health care provider with primary practice located at 25 Church St , Wilkes Barre PA 18765-3812. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mahoney, Maria M can be contacted via phone (570) 808-8831.Contact Information
Primary practice address
25 Church St
Wilkes Barre PA 18765-3812
Phone: (570) 808-8831
Fax: (570) 808-8845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD063137L | Pennsylvania |
Profile Details
| NPI number | 1922076710 |
|---|---|
| LBN Legal business name | Mahoney, Maria M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Nov 2nd, 2017 - about 7 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 | 1922076710 | NPPES |
| Pennsylvania | MEDICAID | 0017043070004 |
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