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Organization

BRUCE R MALEN, M.D., PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE RICHARD MALEN M.D. (CEO)
(845) 986-6601
Entity
Organization

Contact information

Practice address
33 RONALD REAGAN BLVD, WARWICK, NY 10990-4114
(845) 986-6601
(845) 986-6613
Mailing address
33 RONALD REAGAN BLVD, WARWICK, NY 10990-4114
(845) 986-6691
(845) 986-6613

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
05/10/2010
Last updated
05/10/2010
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