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NPI Code Detail

MEDICARE: DR. THOMAS O'MALLEY JR. MD

MEDICARE: DR. THOMAS O'MALLEY JR. MD
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
1207V00000XObstetrics & Gynecology PhysicianMD027337EPA

General Provider Information

NPI Number : 1447256813
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS O'MALLEY JR. MD
Provider Business Mailing Address
First Line : 41 UNIVERSITY DR
Second Line :
City : NEWTOWN
State : PA
Zip : 18940-1873
Country : US
Telephone Number : 215-710-7037
Fax Number :
Provider Business Practice Location Address
First Line : 1205 LANGHORNE NEWTOWN RD
Second Line : SUITE 408
City : LANGHORNE
State : PA
Zip : 19047-1219
Country : US
Telephone Number : 215-710-5610
Fax Number : 215-710-5625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 04/17/2014

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