Individual
THOMAS MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4025
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
308926
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
308926
PHYSICIAN ASSISTANT LICENSE
LA
Enumeration date
07/13/2018
Last updated
10/25/2021
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