Organization
567 VAUXHALL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN JUDE MALONEY D.O. (PSYCHIATRIST)
(860) 444-0503
Entity
Organization
Contact information
Practice address
567 VAUXHALL STREET EXT STE 126, WATERFORD, CT 06385-4332
(860) 444-0503
Mailing address
567 VAUXHALL STREET EXT STE 126, WATERFORD, CT 06385-4332
(860) 444-0503
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
CT 000159
CT
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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