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Individual

DR. RONALD H MALCOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
25 SPRINT DR, CARLISLE, PA 17015-7696
(717) 960-3750
(717) 960-3734
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD043921L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001238344
PA
05
158401400
MD
Enumeration date
09/30/2005
Last updated
09/22/2018
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