Individual
BRIAN MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 ASYLUM ST, MILFORD, MA 01757-2203
(508) 469-3151
Mailing address
38 PURDUE DR, MILFORD, MA 01757-1243
(774) 613-1469
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XXP980891486
BLUE CROSS BLUE SHEILD
MA
Enumeration date
10/02/2017
Last updated
06/16/2018
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