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NPI Code Detail

MEDICARE: CARLA S CUOCI-MALIN D.O.

MEDICARE:   CARLA S CUOCI-MALIN  D.O.
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
1207Q00000XFamily Medicine PhysicianOS006207LPA

General Provider Information

NPI Number : 1598188401
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLA S CUOCI-MALIN D.O.
Provider Business Mailing Address
First Line : 2450 W HUNTING PARK AVE
Second Line : 2ND FLOOR TPI
City : PHILADELPHIA
State : PA
Zip : 19129-1302
Country : US
Telephone Number : 215-926-9022
Fax Number :
Provider Business Practice Location Address
First Line : 9331 OLD BUSTLETON AVE
Second Line : SUITE100A
City : PHILADELPHIA
State : PA
Zip : 19115-4204
Country : US
Telephone Number : 215-671-0653
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2014
Last Update Date : 05/06/2016

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Directions to “ CARLA S CUOCI-MALIN D.O.” Practice Location

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