Individual
G. MICHAEL MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 HIGHLAND AVE, NEWBURYPORT, MA 01950-3867
(978) 463-1050
Mailing address
12 GILL ST, SUITE 3000, WOBURN, MA 01801-1728
(781) 937-4522
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
229488
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2126222
—
MA
01
—
J40499
BCBS OF MA
MA
Enumeration date
08/01/2006
Last updated
04/18/2008
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