Individual
MR. MICHAEL MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1062 BARNES RD, STE 300, WALLINGFORD, CT 06492-2576
(203) 265-9831
(203) 265-2977
Mailing address
1062 BARNES RD, STE 300, WALLINGFORD, CT 06492-2576
(203) 265-9831
(203) 265-2977
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000844
CT
Other
Enumeration date
06/09/2005
Last updated
04/28/2008
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