Individual
DR. BARRY C MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GRANITE POINT DR STE 100, WYOMISSING, PA 19610-1992
(610) 378-1344
(610) 378-5169
Mailing address
1 GRANITE POINT DR STE 100, WYOMISSING, PA 19610-1992
(610) 378-1344
(610) 378-5169
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD058947L
PA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
MD058947L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015836040006
—
PA
05
—
0015836040007
—
PA
05
—
0015836040009
—
PA
Enumeration date
01/19/2006
Last updated
01/03/2025
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