Individual
DR. MICHAEL JAMES MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
50 MOISEY DR STE 214, HAZLE TOWNSHIP, PA 18202-9297
(570) 501-6900
(570) 501-6945
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS017757
PA
208600000X
Surgery Physician
OT013657
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103053833-0001
—
PA
Enumeration date
01/17/2012
Last updated
03/15/2023
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