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Individual

ERIC B MALLOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
235 W 102ND ST, NEW YORK, NY 10025-8400
(443) 825-6046
Mailing address
235 W 102ND ST, NEW YORK, NY 10025-8400
(443) 825-6046

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
181932
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
MD041201E
PA

Other

Enumeration date
06/30/2006
Last updated
12/11/2017
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