Individual
HANEY MALLEMAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, DEPARTMENT OF CRITICAL CARE, LEBANON, NH 03756-1000
(603) 650-7254
Mailing address
1 FEDERAL ST, STE SW200, CAMDEN, NJ 08103-1155
(603) 650-4978
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
14295
NH
207P00000X
Emergency Medicine Physician
25MA09933900
NJ
207R00000X
Internal Medicine Physician
14295
NH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MA09933900
NJ
Other
Enumeration date
02/05/2008
Last updated
08/12/2016
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