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Individual

JONATHAN MALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 MIDDLETOWN BLVD STE 100, LANGHORNE, PA 19047-1819
(215) 757-7300
Mailing address
400 MIDDLETOWN BLVD STE 100, LANGHORNE, PA 19047-1819
(215) 757-7300

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
85498
GA
207Y00000X
Otolaryngology Physician
Primary
MD473573
PA
207YX0602X
Otolaryngic Allergy Physician
25MA11149200
NJ

Other

Enumeration date
04/16/2015
Last updated
08/04/2021
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