# DR. BENJAMIN JOSEPH MAHONEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1033788237
- **Gender:** Man
- **Credential:** DNP, APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | 009732 | CT | — |
| 363LP2300X | Primary Care Nurse Practitioner | 101.0137520 | VT | Yes |

## Other

- **Enumeration date:** 06/22/2021
- **Last updated:** 11/18/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004217099 | — | CT |
| 05 | — | 008039745 | — | CT |
| 05 | — | 008056033 | — | CT |
| 05 | — | 008056168 | — | CT |
| 05 | — | 008068298 | — | CT |
| 05 | — | 008103793 | — | CT |