Individual
DR. RICHARD MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, CHILDREN'S HOSPITAL ENDERS 861.3, BOSTON, MA 02115-5724
(617) 919-2900
Mailing address
300 LONGWOOD AVE, CHILDREN'S HOSPITAL ENDERS 861.3, BOSTON, MA 02115-5724
(617) 919-2900
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
77989
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3135800
—
MA
Enumeration date
09/26/2006
Last updated
10/09/2008
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