Individual
DR. ANDREA MARIE MALON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
540 SAYBROOK RD STE 100, MIDDLETOWN, CT 06457-4760
(860) 358-2850
(860) 358-8698
Mailing address
862 ARBUTUS ST, MIDDLETOWN, CT 06457-5177
(860) 346-2608
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
21347
CT
2086S0129X
Vascular Surgery Physician
033184
CT
2086X0206X
Surgical Oncology Physician
Primary
033184
CT
208C00000X
Colon & Rectal Surgery Physician
033184
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001331842
—
CT
Enumeration date
01/13/2006
Last updated
01/04/2024
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