MEDICARE: DR. JOSEPH LAWRENCE MALONE III M.D.

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
1	207RI0200X	Infectious Disease Physician	GFE55530	CA
2	207RI0200X	Infectious Disease Physician	0101057339	VA
3	207RI0200X	Infectious Disease Physician	D80846	MD

General Provider Information

NPI Number	:	1710957212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH LAWRENCE MALONE III M.D.

Provider Business Mailing Address
First Line	:	9617 SINGLETON DR
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-2464
Country	:	US
Telephone Number	:	301-564-1588
Fax Number	:

Provider Business Practice Location Address
First Line	:	MONTGOMERY COUNTY MARYLAND DEPARTMENT OF HEALTH AND HUM
Second Line	:	2000 DENNIS AVENUE, SUITE 1200
City	:	SILVER SPRING
State	:	MD
Zip	:	20902
Country	:	US
Telephone Number	:	240-777-1800
Fax Number	:	240-777-4899

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	07/26/2019

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