Individual
CRAIG T MALLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
J. D. M.D.
Contact information
Practice address
1413 RESEARCH BLVD, ROCKVILLE, MD 20850-3125
(301) 319-0000
Mailing address
1413 RESEARCH BLVD, ROCKVILLE, MD 20850-3125
(301) 319-0000
(301) 319-0635
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
ME 83599
FL
Other
Enumeration date
12/01/2005
Last updated
07/12/2007
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