Individual
DR. DONNA MARIE MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1021 ROUTE 70, MANCHESTER, NJ 08759-5804
(732) 657-1400
(732) 657-1402
Mailing address
PO BOX 2089444, DALLAS, TX 75320-5804
(636) 200-4393
(732) 657-1402
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00529300
NJ
152W00000X
Optometrist
NJ 5293
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6239404
—
NJ
Enumeration date
11/01/2006
Last updated
01/05/2023
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