Individual
DEBRA GROVE-MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
MD041383L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000126583
UNISON
PA
01
—
000539004
HIGHMARK
PA
05
—
001489872
—
PA
01
—
0737893000
INDEPENDENCE BLUE CROSS
PA
01
—
1537630
GATEWAY
PA
01
—
20011072
MERCY
PA
01
—
220021412
RR MEDICARE
PA
01
—
30003495
KEYSTONE MERCY
PA
01
—
50056056
CAPITAL BLUE CROSS/KEYSTONE HEALTH PLAN CENTRAL
PA
01
—
5685185
AETNA-NON HMO
PA
01
—
76907
GEISINGER
PA
01
—
847766
AETNA-HMO
PA
Enumeration date
02/10/2006
Last updated
03/30/2011
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