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Individual

JAMES MATHEW MALONE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
(805) 595-3231
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
(805) 595-3231

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
A64765
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A647650
CA
01
1018
CMSP
01
6578092
AETNA PIN
01
CB239197
MEDICARE ID
CA
01
M124883
INTEGRATED HEALTH PLAN
01
ZZZ002934Z
BLUE SHIELD GROUP PIN
Enumeration date
08/18/2005
Last updated
04/12/2024
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