Individual
MALINI IYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, FACS, FRCS
Contact information
Practice address
45 2ND STREET PIKE STE 100, SOUTHAMPTON, PA 18966-3829
(215) 633-3456
Mailing address
45 2ND STREET PIKE STE 100, SOUTHAMPTON, PA 18966-3829
(215) 633-3456
(215) 396-3456
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
039231
CT
208600000X
Surgery Physician
25MA08874200
NJ
208600000X
Surgery Physician
Primary
MD436759
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03367502
AMERIGROUP
NJ
01
—
1400299
COVENTRY
NJ
01
—
2400692
CIGNA
FL
01
—
60174432
HORIZON NJ HEALTH
NJ
01
—
7906347
AETNA
FL
01
—
P01604147
RR MEDICARE
NJ
01
—
P5369907
UNTIED
NJ
Enumeration date
06/22/2005
Last updated
07/13/2020
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