Organization
MAHONEYMOBILEMEDICAL AND VASCULAR ACCESS SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN MAHONEY WILLIAMS M.D (PRESIDENT)
(301) 421-0800
Entity
Organization
Contact information
Practice address
716 FIRESTONE DR, SUITE 1, SILVER SPRING, MD 20905-4087
(301) 421-0800
Mailing address
716 FIRESTONE DR, MAHONEYMOBILEMEDICAL AND VASCULAR ACCESS SERVICE, SILVER SPRING, MD 20905-4087
(301) 421-0800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD20371
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001984400/355661100
—
MD
Enumeration date
09/11/2014
Last updated
09/11/2014
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