Provider Demographics
NPI:1720113632
Name:MCMAHON-DOWNER, MICHELLE SUSAN (MD)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:SUSAN
Last Name:MCMAHON-DOWNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:MCMAHON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:115 LINCOLN STREET
Mailing Address - Street 2:METROWEST EMERGENCY PHYSICIANS
Mailing Address - City:FROMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702
Mailing Address - Country:US
Mailing Address - Phone:508-383-1104
Mailing Address - Fax:508-383-1138
Practice Address - Street 1:115 LINCOLN STREET
Practice Address - Street 2:METROWEST MEDICAL CENTER
Practice Address - City:FROMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702
Practice Address - Country:US
Practice Address - Phone:508-383-1104
Practice Address - Fax:508-383-1138
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA231988207P00000X
RI12264207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine