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NPI Code Detail

MEDICARE: DR. JOSEPH GERARD MALONEY DMD

MEDICARE: DR. JOSEPH GERARD MALONEY DMD
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
11223P0300XPeriodontics16876MA

General Provider Information

NPI Number : 1396749313
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH GERARD MALONEY DMD
Provider Business Mailing Address
First Line : 2 WINN STREET
Second Line : DR JOSEPH MALONEY
City : BURLINGTON
State : MA
Zip : 01803-4725
Country : US
Telephone Number : 781-272-4200
Fax Number : 781-272-2683
Provider Business Practice Location Address
First Line : 2 WINN STREET
Second Line : DR JOSEPH MALONEY
City : BURLINGTON
State : MA
Zip : 01803-4725
Country : US
Telephone Number : 781-272-4200
Fax Number : 781-272-2683
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 01/11/2008

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