Provider Demographics
NPI:1548349392
Name:MAHER, MARY C (DO)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:C
Last Name:MAHER
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Gender:F
Credentials:DO
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Mailing Address - Street 1:11279 PERRY HWY
Mailing Address - Street 2:SUITE 450
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9381
Mailing Address - Country:US
Mailing Address - Phone:724-933-1100
Mailing Address - Fax:724-933-1160
Practice Address - Street 1:4411 STILLEY RD
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15227-1368
Practice Address - Country:US
Practice Address - Phone:412-882-7747
Practice Address - Fax:412-882-2667
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2013-12-16
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Provider Licenses
StateLicense IDTaxonomies
DEC20006430208000000X, 208D00000X
PAOS010375L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ71820Medicaid
PA101681653Medicaid
MD4105796Medicaid
MD4105796Medicaid