Individual
BETH MALLOZZI-ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
255 W LANCASTER AVE, PAOLI, PA 19301-1763
(610) 648-1000
Mailing address
255 W LANCASTER AVE, PAOLI, PA 19301-1763
(610) 648-1000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS006191L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015314930003
—
PA
01
—
0153149303
AMERICHOICE
PA
01
—
0530667000
KEYSTONE HEALTHPLAN EAST
PA
01
—
2706910
AETNA
PA
01
—
695624
BLUE SHIELD PA
PA
Enumeration date
10/25/2006
Last updated
09/02/2011
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