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Individual

ANDREA MALCOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
5000 W TILGHMAN ST, SUITE 240, ALLENTOWN, PA 18104-9150
(610) 395-4044
(610) 395-5693
Mailing address
5000 TILGHMAN ST, SUITE 240, ALLENTOWN, PA 18104-9150
(610) 395-4044
(610) 395-5693

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN562502
PA

Other

Enumeration date
07/11/2006
Last updated
10/06/2010
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