Individual
DR. JENNIE O'LERA MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3458 NEELY RD, JOINT BASE MDL, NJ 08641-5312
(888) 363-2273
Mailing address
3458 NEELY RD, JOINT BASE MDL, NJ 08641-5312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
258781
NY
207Q00000X
Family Medicine Physician
Primary
25MB08670200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03269858
—
NY
Enumeration date
07/10/2007
Last updated
03/14/2018
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