MEDICARE: CHRISTINE R MAHONEY DO

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	207Q00000X	Family Medicine Physician	DO3571	ME

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	:	1851551097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE R MAHONEY DO

Provider Business Mailing Address
First Line	:	582 ROOSEVELT TRL
Second Line	:
City	:	WINDHAM
State	:	ME
Zip	:	04062-4904
Country	:	US
Telephone Number	:	207-892-3233
Fax Number	:	207-810-4990

Provider Business Practice Location Address
First Line	:	582 ROOSEVELT TRAIL
Second Line	:
City	:	WINDHAM
State	:	ME
Zip	:	04062-1229
Country	:	US
Telephone Number	:	207-892-3233
Fax Number	:

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

Provider Enumeration Date	:	06/11/2008
Last Update Date	:	03/11/2026

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Directions to “ CHRISTINE R MAHONEY DO” Practice Location

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