Individual
GERALD E MALONEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34007663
OH
207P00000X
Emergency Medicine Physician
36111248
IL
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
34-007663
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2348132
—
OH
01
—
P00856987
MEDICARE RAILROAD
OH
Enumeration date
07/13/2006
Last updated
11/06/2012
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