Individual
RICHARD I. MALKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9501 ROOSEVELT BLVD, SUITE 410, PHILADELPHIA, PA 19114-1025
(215) 969-4917
(215) 969-5875
Mailing address
P. O. BOX 8500 - 6335, PHILADELPHIA, PA 19178-0001
(215) 807-8000
(215) 807-8235
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD020683E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00728260-02
AMERICHOICE
PA
01
—
025071
HIGHMARK BLUE SHIELD
PA
01
—
03226
HEALTH PARTNERS
PA
01
—
1022046
KEYSTONE MERCY
PA
01
—
1072645
CIGNA
PA
01
—
1506795
PHCS
PA
01
—
1591648
FIRST HEALTH
PA
01
—
298
AETNA
PA
01
—
877298
UNITED HEALTHCARE
PA
01
—
PA0043691
TRICARE
PA
Enumeration date
06/08/2006
Last updated
07/10/2007
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