Terrence Reed Malloy M.D.

NPI 1053374702 - Urology - 208800000X

NPI Details
NPI 1053374702
Gender Male
Enumeration Date 04/11/2006
Last Updated 03/25/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
3401 N BROAD ST
PHILADELPHIA PA, 19140-5103, US
Phone (215) 707-3375
Fax (215) 707-4758
Business Location
2450 W HUNTING PARK AVE
PHILADELPHIA PA, 19129-1302, US
Phone (215) 707-3375
Fax (215) 707-4758
Toxanomy
Taxonomy Code 208800000X
License State Pennsylvania
License Number MD007503E
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According to our database, Dr. Terrence Reed Malloy M.D. NPI is 1053374702, taxonomy code is 208800000X and license number is MD007503E, license state is located at Pennsylvania. Terrence Reed Malloy M.D. physically located at 3401 N Broad St, Philadelphia PA, 19140-5103. NPI Number Terrence Reed Malloy M.D. has the Individual type.

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1053374702 NPI number is provided on an as is basis without warranty of any kind. 1053374702 is maintained by the National Plan & Provider Enumeration System. The contents of Terrence Reed Malloy M.D. are for informational purposes only.