Individual
DAVID MALCHMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-3486
Mailing address
65 KANE ST, WEST HARTFORD, CT 06119-2110
(860) 532-6421
(860) 532-0312
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000372
CT
Other
Enumeration date
07/12/2005
Last updated
07/08/2007
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