Provider Demographics
NPI:1316919756
Name:MULCAHY, PATRICK JOSEPH (DO)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:JOSEPH
Last Name:MULCAHY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:5 VINEYARD WAY
Mailing Address - Street 2:
Mailing Address - City:KENNEBUNK
Mailing Address - State:ME
Mailing Address - Zip Code:04043-6995
Mailing Address - Country:US
Mailing Address - Phone:207-251-5599
Mailing Address - Fax:207-569-6729
Practice Address - Street 1:5 VINEYARD WAY
Practice Address - Street 2:
Practice Address - City:KENNEBUNK
Practice Address - State:ME
Practice Address - Zip Code:04043-6995
Practice Address - Country:US
Practice Address - Phone:207-251-5599
Practice Address - Fax:207-251-5599
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2023-04-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ME1926207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME432448000Medicaid