Individual
DANIEL MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
476 S MAIN ST, ANDOVER, OH 44003-9602
(330) 841-4000
(330) 656-5901
Mailing address
5700 DARROW RD, SUITE 106, HUDSON, OH 44236-5021
(330) 656-5911
(330) 656-5901
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35084918
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028430
ANTHEM
OH
01
—
000000349348
ANTHEM
OH
01
—
000000381140
ANTHEM
OH
01
—
000000385522
ANTHEM
OH
01
—
000963091-0008
PENNSYLVANIA MEDICAID
OH
01
—
000963091-0009
PENNSYLVANIA MEDICAID
OH
01
—
000963091-0010
PENNSYLVANIA MEDICAID
OH
05
—
2162467
—
OH
01
—
P00350570
RAILROAD MEDICARE
OH
Enumeration date
12/28/2005
Last updated
06/11/2008
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