Organization
BHOOSA MALLIAH, MD. PA
Active
Other names
BHOOSAMALLIAH,MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHOOSA MALLIAH M.D. (PHYSICIAN)
(732) 840-8688
Entity
Organization
Contact information
Practice address
222 JACK MARTIN BLVD, SUITE. E,, BRICKTOWN, NJ 08724-7772
(732) 840-8688
(732) 840-8480
Mailing address
222 JACK MARTIN BLVD, SUITE. E,, BRICKTOWN, NJ 08724-7772
(732) 840-8688
(732) 840-8480
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
02/23/2006
Last updated
09/20/2007
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