Individual
DR. RUTH ELLEN O'MAHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
897 W MAIN ST, SUITE 700, DOVER FOXCROFT, ME 04426-1029
(207) 564-4466
Mailing address
897 W MAIN ST, SUITE 700, DOVER FOXCROFT, ME 04426-1029
(207) 564-4466
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
018008
ME
208600000X
Surgery Physician
13223
NH
208600000X
Surgery Physician
ME93215
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000587801
MEDICARE PTAN
ME
01
—
P00654554
RAILROAD MEDICARE
ME
Enumeration date
07/04/2006
Last updated
01/29/2009
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