Individual
DR. RAYMOND GEORGE MALACKANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3622 BELMONT AVE, SUITE1, YOUNGSTOWN, OH 44505-1450
(330) 759-9350
(330) 759-9387
Mailing address
3622 BELMONT AVE, SUITE1, YOUNGSTOWN, OH 44505-1450
(330) 759-9350
(330) 759-9387
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
34002718M
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
34002718
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0376374
—
OH
Enumeration date
09/14/2005
Last updated
10/27/2010
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