Individual
MARY CATHERINE MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
535 CENTERVILLE RD STE 102, WARWICK, RI 02886-4376
(401) 773-7220
(401) 773-7221
Mailing address
12 PECKHAM AVE, NEWPORT, RI 02840
(401) 486-2672
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00996
RI
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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