Individual
MAURICE J MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, YALE CHILDREN'S HOSPITAL, WEST PAVILION, 2ND FLOOR, NEW HAVEN, CT 06510-3220
(203) 785-2660
(203) 785-3404
Mailing address
20 YORK ST, YALE CHILDREN'S HOSPITAL, WEST PAVILION, 2ND FLOOR, NEW HAVEN, CT 06510-3220
(203) 785-2660
(203) 785-3404
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
013672
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001136720
—
CT
Enumeration date
10/11/2005
Last updated
03/14/2011
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