Individual
DR. STEPHEN JAMES MAHONEY
Active
Individual
DR. STEPHEN JAMES MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01026306
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100365940
—
IN
Enumeration date
06/27/2005
Last updated
06/15/2010
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