Organization
MARK L. MALLEK, MD P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE ELLIS (OFFICE MANAGER)
(603) 881-8000
Entity
Organization
Contact information
Practice address
280 MAIN ST, SUITE 340, NASHUA, NH 03060-2919
(603) 881-8000
(603) 881-8001
Mailing address
280 MAIN ST, SUITE 340, NASHUA, NH 03060-2919
(603) 881-8000
(603) 881-8001
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
6560
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100335Y0NH01
ANTHEM
NH
01
—
404414
TUFTS
—
05
—
82110335
—
NH
Enumeration date
12/12/2006
Last updated
08/22/2020
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