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Individual
MR. JERRY P MALEFATTO
Active
Individual
MR. JERRY P MALEFATTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
031058
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001310581
—
CT
01
—
001410
HEALTHNET
—
01
—
010031058CT01
ANTHEM
CT
01
—
25464
OXFORD
—
Enumeration date
10/03/2006
Last updated
07/08/2007
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