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Organization

TONY M. MAALOUF, M.D.,P.C.

Active
Parent organization
NO
Organization subpart
Yes

Provider details

NPI number
Legal business name
NO
Authorized official
MR. TONY MAURICE MAALOUF M.D. (PHYSICIAN)
(724) 283-1005
Entity
Organization

Contact information

Practice address
407 W JEFFERSON ST STE B, BUTLER, PA 16001-5485
(724) 283-1005
(724) 283-4612
Mailing address
407 W JEFFERSON ST STE B, BUTLER, PA 16001-5485
(724) 283-1005
(724) 283-4612

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD054326L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000785204
BLUE SHIELD INDIVIDUAL
PA
05
0015480890002
PA
01
100052
BLACK LUNG
PA
01
140961
UNISON
PA
01
1455350
BLUE CROSS BLUE SHIELD
PA
01
1493787
UNITED MINE WORKERS
PA
01
1500112
GATEWAY
PA
01
203064
HEALTH AMERICA ASSURANCE
PA
01
2144417000
BLUE CROSS BLUE SHIELD IN
PA
01
3272431
AETNA
PA
01
5451223
US HEALTHCARE PPO
PA
01
PO38742
CHAMPUS
PA
Enumeration date
06/14/2007
Last updated
04/20/2008
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