Mahoney, Nicholas Robert

Mahoney, Nicholas Robert is an individual health care provider with primary practice located at 600 N Wolfe St , Baltimore MD 21287-0005. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Mahoney, Nicholas Robert can be contacted via phone (410) 955-1112.

Contact Information

Primary practice address
600 N Wolfe St Baltimore MD 21287-0005
Phone: (410) 955-1112
Fax: (410) 614-9987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MT188147 Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D70837 Maryland
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X D70837 Maryland

Profile Details

NPI number 1194875864
LBN Legal business name Mahoney, Nicholas Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Apr 29th, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194875864 NPPES
Maryland MEDICAID 036177100

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