MEDICARE: SEAN KEVIN MARONEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	282539	MA
2	208C00000X	Colon & Rectal Surgery Physician	282539	MA
3	208C00000X	Colon & Rectal Surgery Physician	A135520	CA
4	208600000X	Surgery Physician	A135520	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487881983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN KEVIN MARONEY M.D.

Provider Business Mailing Address
First Line	:	5 BON AIR RD STE 101
Second Line	:
City	:	LARKSPUR
State	:	CA
Zip	:	94939-1134
Country	:	US
Telephone Number	:	415-924-2515
Fax Number	:	415-924-2661

Provider Business Practice Location Address
First Line	:	5 BON AIR RD STE 101
Second Line	:
City	:	LARKSPUR
State	:	CA
Zip	:	94939-1134
Country	:	US
Telephone Number	:	415-924-2515
Fax Number	:	415-924-2661

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2009
Last Update Date	:	02/21/2024

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Directions to “ SEAN KEVIN MARONEY M.D.” Practice Location

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