Individual
DR. JASON LAWRENCE MALLADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2014 WASHINGTON ST, NEWTON, MA 02462
(617) 243-6000
Mailing address
448 W 55TH ST, APT 3B, NEW YORK, NY 10019-4439
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
058070
NY
Other
Enumeration date
08/03/2013
Last updated
02/21/2019
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