Individual
ELLEN ANNE MAHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
131 KINGS HWY N, WESTPORT, CT 06880-2439
(203) 221-0102
(203) 221-1121
Mailing address
22 OTTER TRL, WESTPORT, CT 06880-4919
(203) 221-0102
(203) 221-1121
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
035228
CT
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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