Provider Demographics
NPI:1699837492
Name:MAHER, JOHN PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PATRICK
Last Name:MAHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1240 HIGH GATE ROAD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-5846
Mailing Address - Country:US
Mailing Address - Phone:610-431-7110
Mailing Address - Fax:
Practice Address - Street 1:601 WESTTOWN ROAD
Practice Address - Street 2:SUITE 290
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-0990
Practice Address - Country:US
Practice Address - Phone:610-344-6230
Practice Address - Fax:610-344-6727
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD007605E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE77417Medicare UPIN