Individual
DONNA WINDERL MALYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 W SQUANTUM ST, NORTH QUINCY, MA 02171-2122
(617) 376-3000
(617) 774-1905
Mailing address
110 W SQUANTUM ST, NORTH QUINCY, MA 02171-2122
(617) 376-3000
(617) 774-1905
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
171752
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115481
FALLON
MA
01
—
NP2857
BLUE CROSS
MA
Enumeration date
09/20/2006
Last updated
05/28/2015
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