Individual
TIMOTHY JOHN MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
731-F WALKER ROAD, GREAT FALLS, VA 22066-2834
(703) 759-7016
(703) 759-7018
Mailing address
11062 TOTTENHAM LN, RESTON, VA 20194-1402
(703) 927-4463
(703) 759-7018
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101041129
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63-2250-6
—
VA
Enumeration date
08/01/2006
Last updated
08/21/2020
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