Individual
DR. ROLANDO Q. MALLARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1925 PACIFIC AVE, CHOP CARE NETWORK AT ATLANTICARE - ATLANTIC CITY, ATLANTIC CITY, NJ 08401-6713
(609) 345-4000
Mailing address
100 E PENN SQ, 9TH FL, PHILADELPHIA, PA 19107-3323
(267) 425-9232
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MA07069600
NJ
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25MA07069600
NJ
208M00000X
Hospitalist Physician
MA07069600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811675
—
PA
05
—
7027010
—
MD
05
—
8285705
—
NJ
Enumeration date
10/25/2006
Last updated
05/07/2014
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