Individual
JUDE P MALICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2333 MCCALLIE AVE, CHATTANOOGA, TN 37404-3258
(423) 698-6061
Mailing address
1000 RIVER RD, SUITE 100, CONSHOHOCKEN, PA 19428-2439
(800) 355-3818
(610) 834-2862
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39631
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000483678E
—
GA
05
—
3331772
—
TN
Enumeration date
06/10/2006
Last updated
07/08/2007
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