| Doctor Name: | ANN MAHAN |
| NPI Number: | 1033317979 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.P.N. |
| License Number: | |
| Business Practice Address: | 1000 River Rd Teaneck, NJ - 076661914 |
| Business Phone Number: | 2016922437 |
| Business Fax Number: | |
| Mailing Address: | 15 Valley Rd, NUTLEY |
| State: | NJ |
| Postal Code: | 071102224 |
| Phone Number: | 9736677774 |
| Fax Number: | |
| NPI Enumeration Date: | 07/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |