Provider Demographics
NPI:1356507297
Name:MAHONEY, NICHOLAS ADAM (MD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:ADAM
Last Name:MAHONEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:725 CHERRINGTON PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:MOON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-4318
Mailing Address - Country:US
Mailing Address - Phone:412-262-1000
Mailing Address - Fax:412-262-2427
Practice Address - Street 1:725 CHERRINGTON PKWY STE 100
Practice Address - Street 2:
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108
Practice Address - Country:US
Practice Address - Phone:412-262-1000
Practice Address - Fax:412-262-2427
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD450890207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology