Michael Keith Mallow M.D.

NPI 1023138237 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1023138237
Gender Male
Enumeration Date 03/30/2007
Last Updated 09/26/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
25 S. 9TH STREET
1ST FLOOR
PHILADELPHIA PA, 19107-4408, US
Phone (215) 955-1200
Fax (215) 923-6808
Business Location
25 S. 9TH STREET
1ST FLOOR
PHILADELPHIA PA, 19107-4408, US
Phone (215) 955-1200
Fax (215) 923-6808
Toxanomy
Taxonomy Code 208100000X
License State Pennsylvania
License Number MD436445
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According to our database, Dr. Michael Keith Mallow M.D. NPI is 1023138237, taxonomy code is 208100000X and license number is MD436445, license state is located at Pennsylvania. Michael Keith Mallow M.D. physically located at 25 S. 9th Street, Philadelphia PA, 19107-4408. NPI Number Michael Keith Mallow M.D. has the Individual type.

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1023138237 NPI number is provided on an as is basis without warranty of any kind. 1023138237 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Keith Mallow M.D. are for informational purposes only.