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NPI Code Detail

MEDICARE: DAVID MALONE

MEDICARE: DAVID MALONE
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
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063086403
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID MALONE
Provider Business Mailing Address
First Line : 1427 WELSH RD
Second Line :
City : HUNTINGDON VALLEY
State : PA
Zip : 19006-5831
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2127 RHAWN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-3216
Country : US
Telephone Number : 215-742-8099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2021
Last Update Date : 01/27/2023

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Directions to “ DAVID MALONE ” Practice Location

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