Organization
PAUL D MAHER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY BIGGLES (DIRECTOR OF BUSINESS OPERATINS)
(626) 204-0310
Entity
Organization
Contact information
Practice address
55 E CALIFORNIA BLVD FL 3, PASADENA, CA 91105-3944
(626) 793-1227
(626) 993-9200
Mailing address
55 E CALIFORNIA BLVD FL 3, PASADENA, CA 91105-3944
(626) 793-1227
(626) 993-9200
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G70371
STATE LICENSE
CA
Enumeration date
02/07/2020
Last updated
02/07/2020
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