Individual
MRS. MARY GENTILE MALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 A ST, PHILADELPHIA, PA 19134-1043
(215) 427-5230
Mailing address
31 CARRIAGE HOUSE DR, HOLLAND, PA 18966-2224
(267) 994-6325
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MT190813
PA
Other
Enumeration date
05/23/2007
Last updated
04/22/2013
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