Individual
ELLEN M MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8 PIKES HL, NORWAY, ME 04268-5340
(207) 744-6444
Mailing address
8 PIKES HL, NORWAY, ME 04268-5340
(207) 744-6444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
214075
MA
207Q00000X
Family Medicine Physician
Primary
MD24876
ME
207QG0300X
Geriatric Medicine (Family Medicine) Physician
214075
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2017918
—
MA
01
—
MD24876
STATE LICENSE
ME
Enumeration date
04/26/2006
Last updated
09/03/2021
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