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Individual

SEAN KEVIN MARONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5 BON AIR RD STE 101, LARKSPUR, CA 94939-1134
(415) 924-2515
(415) 924-2661
Mailing address
5 BON AIR RD STE 101, LARKSPUR, CA 94939-1134
(415) 924-2515
(415) 924-2661

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
282539
MA
208600000X
Surgery Physician
Primary
A135520
CA
208C00000X
Colon & Rectal Surgery Physician
282539
MA
208C00000X
Colon & Rectal Surgery Physician
A135520
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110163034A
MA
Enumeration date
06/11/2009
Last updated
02/21/2024
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