MEDICARE: MR. MICHAEL MCMAHON P.A.

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	363AM0700X	Medical Physician Assistant	000844	CT

General Provider Information

NPI Number	:	1629072442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL MCMAHON P.A.

Provider Business Mailing Address
First Line	:	1062 BARNES RD
Second Line	:	STE 300
City	:	WALLINGFORD
State	:	CT
Zip	:	06492-2576
Country	:	US
Telephone Number	:	203-265-9831
Fax Number	:	203-265-2977

Provider Business Practice Location Address
First Line	:	1062 BARNES RD
Second Line	:	STE 300
City	:	WALLINGFORD
State	:	CT
Zip	:	06492-2576
Country	:	US
Telephone Number	:	203-265-9831
Fax Number	:	203-265-2977

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	04/28/2008

Similar Medicare Providers

1851395651 — DR. ROBERT JOEL GOLUB M.D.
Practice Location Address:

1062 BARNES RD , STE 300
WALLINGFORD, CT
06492-2576

Practice Phone: 203-265-9831
Practice Fax: 203-265-2977

1417951203 — DR. WILLIAM JOSEPH FARRELL M.D.
Practice Location Address:

1062 BARNES RD , STE 300
WALLINGFORD, CT
06492-2576

Practice Phone: 203-265-9831
Practice Fax: 203-265-2977

1073517850 — DR. RICHARD ALEXANDER BUGLIARI M.D.
Practice Location Address:

1062 BARNES RD , STE 300
WALLINGFORD, CT
06492-2576

Practice Phone: 203-265-9831
Practice Fax: 203-265-2977

1144630328 — ALLISON PADEGIMAS M.D.
Practice Location Address:

1062 BARNES RD STE 300
WALLINGFORD, CT
06492-2576

Practice Phone: 203-265-9831
Practice Fax:

1952782567 — ZAIN AHMED M.D.
Practice Location Address:

1062 BARNES RD STE 300
WALLINGFORD, CT
06492-2576

Practice Phone: 203-265-9831
Practice Fax:

1568828259 — NORMAN ROTH M.S., M.D.
Practice Location Address:

1062 BARNES RD STE 300
WALLINGFORD, CT
06492-2576

Practice Phone: 605-251-5328
Practice Fax:

Directions to “ MR. MICHAEL MCMAHON P.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.