# ALBERT K MALL MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982649802
- **Authorized official:** ALBERT K MALL MD (OWNER MD)
- **Authorized official phone:** (814) 262-7980

## Contact information

- **Practice address:** 1111 FRANKLIN ST, SUITE 230, JOHNSTOWN, PA 15905
- **Practice address phone:** (814) 262-7980
- **Practice address fax:** (814) 262-7983
- **Mailing address:** 1111 FRANKLIN ST, SUITE 230, JOHNSTOWN, PA 15905
- **Mailing address phone:** (814) 262-7980
- **Mailing address fax:** (814) 262-7983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD023412E | PA | Yes |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 05/14/2008