Individual
JOHN MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
368 LAKEHURST RD, SUITE 202, TOMS RIVER, NJ 08755-7339
(732) 914-8500
Mailing address
1418 WATERS EDGE DR, TOMS RIVER, NJ 08753-2660
(732) 270-1223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA00870200
LICENSE #
NJ
Enumeration date
08/30/2006
Last updated
07/08/2007
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