Individual
BRIAN HENRY MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 S 11TH ST STE 8290, PHILADELPHIA, PA 19107-4824
(215) 955-2370
(215) 955-0677
Mailing address
111 S 11TH ST STE 8290, PHILADELPHIA, PA 19107-4824
(215) 955-2370
(215) 955-0677
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
OS023736
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OT019069
PA
Other
Enumeration date
05/21/2019
Last updated
07/09/2024
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