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Individual
MR. JOSEPH F MALLARI
Active
Individual
MR. JOSEPH F MALLARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
19459
OR
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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