Individual
DR. MAUREEN C. MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
NEMOURS PEDIATRICS LANKENAU, 100 E. LANCASTER AVE. SUITE 436, WYNNEWOOD, PA 19096-3450
(610) 645-6333
(610) 645-6064
Mailing address
NEMOURS CHILDRENS CLINIC, P.O. BOX 404112, ATLANTA, GA 30384-0001
(904) 390-3610
(904) 288-5890
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD062455L
PA
208D00000X
General Practice Physician
Primary
MD062455L
PA
208M00000X
Hospitalist Physician
MD062455L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1721587
—
PA
05
—
2542
—
NJ
05
—
4027523
—
MD
Enumeration date
09/28/2006
Last updated
08/30/2011
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