Individual
DR. MARVIN KEITH MALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 FISHER RD, HOSPITALIST PROGRAM, BERLIN, VT 05602-9516
(802) 225-1743
(802) 225-1745
Mailing address
PO BOX 547, CVMC FINANCE DEPT, BARRE, VT 05641-0547
(802) 225-1743
(802) 371-1745
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-0010219
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN2501
—
VT
Enumeration date
07/21/2006
Last updated
12/04/2014
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