Individual
DR. CHARLES ROBERT MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APN, RN
Contact information
Practice address
110 REHILL AVE, SOMERVILLE, NJ 08876-2519
(908) 685-2920
Mailing address
150 STRATTON ST S, PISCATAWAY, NJ 08854-3643
(973) 885-4154
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01162200
NJ
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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