Individual
JENNIFER A MALOSSI
Active
Individual
JENNIFER A MALOSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2017017909
MO
208800000X
Urology Physician
228628-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003903550
—
MO
05
—
200044423
—
MO
Enumeration date
10/06/2006
Last updated
12/27/2018
Update your record
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