Individual
DR. CHRISTOPHER BRIEN MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
359 BRICK BLVD, BRICK, NJ 08723-6010
(732) 920-1330
Mailing address
PO BOX 2089444, DALLAS, TX 75320-6010
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00529400
NJ
152W00000X
Optometrist
5294
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6247105
—
NJ
Enumeration date
11/02/2006
Last updated
11/18/2022
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