Individual
MICHAEL FRANCIS MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 MAIN ST, EDISON, NJ 08837-3418
(609) 385-2622
(856) 250-1812
Mailing address
235 TALL PINES DR, SEWELL, NJ 08080-1115
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01095300
NJ
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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