Individual
DR. CHARLES DENNIS MALONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4625 S EMERSON AVE, INDIANAPOLIS, IN 46203-5972
(317) 522-2303
(317) 522-2304
Mailing address
4625 S EMERSON AVE, INDIANAPOLIS, IN 46203-5972
(317) 522-2303
(317) 522-2304
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
01023354A
IN
208D00000X
General Practice Physician
Primary
01023354A
IN
Other
Enumeration date
01/29/2007
Last updated
04/18/2013
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