Individual
STANLEY MALKOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD, WEST PAVILION, 3RD FLOOR, PHILADELPHIA, PA 19104-5127
(215) 662-2891
Mailing address
3400 CIVIC CENTER BLVD, WEST PAVILION, 3RD FLOOR, PHILADELPHIA, PA 19104-5127
(215) 662-2891
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD028557E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015886560002
—
PA
Enumeration date
05/25/2006
Last updated
08/26/2015
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