Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MD042445L | PA |
NPI | 1134194871 |
---|---|
Provider Name | Dr. Patrick J Mcmahon |
First Address | Pittsburgh, PA 15203-2065 |
Second Address | Pittsburgh, PA 15203-2065 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 20/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001289530 | (05) | PA |
F29407 | (02) | PA |