Individual
MR. EDWARD MARTIN MALLOY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
603 N BROAD ST, SUITE 100, WOODBURY, NJ 08096-1619
(856) 845-4488
(856) 853-5256
Mailing address
8 UPTON WAY, SEWELL, NJ 08080-3619
(856) 227-9621
(856) 227-5157
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00324600
NJ
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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