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Individual

DONALD SCOT MALAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3801 MARKET ST, MAB # 111, PHILADELPHIA, PA 19104-3153
(215) 662-9563
(215) 243-8818
Mailing address
3801 MARKET ST, MAB # 111, PHILADELPHIA, PA 19104-3153
(215) 662-9563
(215) 243-8818

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC003003L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010546410004
PA
Enumeration date
07/04/2006
Last updated
10/10/2012
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