Individual
DR. ROBERT K MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
NMCP, PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23703
(757) 953-6366
(757) 953-6378
Mailing address
520 BELEM DR, CHESAPEAKE, VA 23322-8038
(757) 618-2092
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101042244
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056101100
—
VA
Enumeration date
02/21/2006
Last updated
08/22/2023
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