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MAHONEYMOBILEMEDICAL AND VASCULAR ACCESS SERVICE NPI 1114328903


NPI Information

NPI: 1114328903
Provider Name: MAHONEYMOBILEMEDICAL AND VASCULAR ACCESS SERVICE
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
716 FIRESTONE DR
SUITE 1
SILVER SPRING, MD
ZIP 20905
Phone: (301) 421-0800
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MAHONEYMOBILEMEDICAL AND VASCULAR ACCESS SERVICE is a specialist in Silver Spring, MD. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MAHONEYMOBILEMEDICAL AND VASCULAR ACCESS SERVICE NPI is 1114328903. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

716 FIRESTONE DR
SUITE 1
SILVER SPRING, MD
ZIP 20905-087
Phone: (301) 421-0800

The provider's authorized official is Jean Mahoney Williams .
The authorized official title is President and has the following contact phone number (301) 421-0800.

The enumeration date for this NPI number is 9/11/2014 and was last updated on 9/11/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistMD20371MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1001984400/355661100MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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