Individual
DR. BRUCE RICHARD MALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33 RONALD REAGAN BLVD, WARWICK, NY 10990-0833
(845) 986-6601
(845) 986-6613
Mailing address
33 RONALD REAGAN BLVD, PO BOX 833, WARWICK, NY 10990-0833
(845) 986-6601
(845) 986-6613
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20386
NY
207W00000X
Ophthalmology Physician
25MA03318400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00305202
—
NY
Enumeration date
10/25/2006
Last updated
10/05/2010
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