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Individual

JAMES W MAHON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
330 RATZER RD, SUITE D-20, WAYNE, NJ 07470-7702
(973) 835-5556
Mailing address
330 RATZER RD, SUITE D-20, WAYNE, NJ 07470-7702
(973) 835-5556

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MA06567400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA06567400
MEDICAL LICENSE
NJ
Enumeration date
10/20/2005
Last updated
07/08/2007
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