Individual
BRENDAN MAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1250 E. MARSHALL STREET, BOX 980401, RICHMOND, VA 23298
(804) 828-4860
Mailing address
1013 W MOUNT VERNON AVE, HADDONFIELD, NJ 08033-3038
(609) 941-1728
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB10832000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2017
Last updated
01/21/2021
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