Individual
DESIREE MALACUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 400, ALLENTOWN, PA 18103-6224
(610) 402-6554
Mailing address
2100 MACK BLVD, ALLENTOWN, PA 18103-5622
(484) 743-0595
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA063940
PA
Other
Enumeration date
06/13/2022
Last updated
11/14/2022
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