Individual
MITCH MALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MADISON AVE, MORRISTOWN, NJ 07960-6136
(973) 971-8457
Mailing address
140 E HANOVER AVE, CEDAR KNOLLS, NJ 07927-2011
(973) 998-7210
Taxonomy
Speciality
Code
Description
License number
State
364SN0000X
Neonatal Clinical Nurse Specialist
Primary
26NJ00980600
NJ
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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