Provider Demographics
NPI:1568434330
Name:MAHAR, PAUL J JR (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:J
Last Name:MAHAR
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7087 WEST BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-4335
Mailing Address - Country:US
Mailing Address - Phone:330-758-8183
Mailing Address - Fax:330-758-8849
Practice Address - Street 1:7087 WEST BLVD STE 3
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-4335
Practice Address - Country:US
Practice Address - Phone:330-758-8183
Practice Address - Fax:330-758-8849
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35-028269207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0175715Medicaid
OH0175715Medicaid
OH0427641Medicare PIN