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NPI Code Detail

MEDICARE: TALIA MALKA R.AC, L.AC

MEDICARE: TALIA MALKA R.AC, L.AC
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
1171100000XAcupuncturistAK000212LPA

General Provider Information

NPI Number : 1376881771
Entity Type Code : Individual
Provider Name (Legal Business Name) : TALIA MALKA R.AC, L.AC
Provider Business Mailing Address
First Line : 4026 WOODRUFF RD
Second Line :
City : LAFAYETTE HILL
State : PA
Zip : 19444-1618
Country : US
Telephone Number : 610-825-8767
Fax Number :
Provider Business Practice Location Address
First Line : 4026 WOODRUFF RD
Second Line :
City : LAFAYETTE HILL
State : PA
Zip : 19444-1618
Country : US
Telephone Number : 610-825-8767
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2013
Last Update Date : 01/21/2013

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