Individual
GERALD F O MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141
(215) 456-6679
(215) 456-8502
Mailing address
PO BOX 13918, PHILADELPHIA, PA 19101
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS007621L
PA
Other
Enumeration date
03/21/2006
Last updated
09/14/2007
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