Mahoney, Maurice J

Mahoney, Maurice J is an individual health care provider with primary practice located at 20 York St Yale Children'S Hospital, West Pavilion, 2Nd Floor, New Haven CT 06510-3220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as his primary health care specialty. Mahoney, Maurice J can be contacted via phone (203) 785-2660.

Contact Information

Primary practice address
20 York St Yale Children'S Hospital, West Pavilion, 2Nd Floor New Haven CT 06510-3220
Phone: (203) 785-2660
Fax: (203) 785-3404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 013672 Connecticut

Profile Details

NPI number 1992793186
LBN Legal business name Mahoney, Maurice J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Mar 14th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992793186 NPPES
Connecticut MEDICAID 001136720

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