Organization
DEBRA MALLEY, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA S MALLEY M.D. (OWNER)
(856) 309-0345
Entity
Organization
Contact information
Practice address
88 LAKEVIEW DR S, BLDG 2, SUITE A, GIBBSBORO, NJ 08026-1229
(856) 309-0345
(856) 309-1213
Mailing address
88 LAKEVIEW DR S, BLDG 2, SUITE A, GIBBSBORO, NJ 08026-1229
(856) 309-0345
(856) 309-1213
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA63875
NJ
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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