Individual
MS. ANA VAUGHAN-MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
274930
MA
2080P0208X
Pediatric Infectious Diseases Physician
MT209054
PA
208M00000X
Hospitalist Physician
47885
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
823974
—
AZ
Enumeration date
06/16/2010
Last updated
10/27/2023
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