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Organization
THOMAS D MAHER MD PLLC
Active
Organization
THOMAS D MAHER MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS D MAHER MD (SOLE MEMBER)
(315) 391-6645
Entity
Organization
Contact information
Practice address
1990 W LAKE RD, SKANEATELES, NY 13152-9674
(315) 391-6645
Mailing address
17 W ELIZABETH ST, PO BOX 152, SKANEATELES, NY 13152-1103
(315) 391-6645
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
127236-1
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
127236-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00507144
—
NY
Enumeration date
05/30/2008
Last updated
05/30/2008
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