MEDICARE: MR. LOUIS MALONE JR. M.D.

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	207L00000X	Anesthesiology Physician	MD470962	PA

General Provider Information

NPI Number	:	1366897589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LOUIS MALONE JR. M.D.

Provider Business Mailing Address
First Line	:	101 E OLNEY AVE STE 400
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-2470
Country	:	US
Telephone Number	:	215-456-1825
Fax Number	:	215-456-5926

Provider Business Practice Location Address
First Line	:	720 E 32ND ST
Second Line	:	A5
City	:	BROOKLYN
State	:	NY
Zip	:	11210-3169
Country	:	US
Telephone Number	:	347-968-4963
Fax Number	:

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

Provider Enumeration Date	:	04/25/2016
Last Update Date	:	01/22/2026

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Directions to “ MR. LOUIS MALONE JR. M.D.” Practice Location

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