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Individual

JACALYN S MALLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
418 E LANCASTER AVE, WAYNE, PA 19087-4310
(610) 687-3600
(610) 687-1774
Mailing address
950 E HAVERFORD RD, BRYN MAWR, PA 19010-3850
(610) 527-4715
(610) 527-3649

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD035591E
PA

Other

Enumeration date
06/22/2006
Last updated
07/08/2007
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