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Individual

AMIN M EL MALLAWANY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
175 WEST BROADWAY, LINCOLN, ME 04457-0000
(207) 794-6700
(207) 794-8476
Mailing address
PO BOX 99, LINCOLN, ME 04457-0099
(207) 794-6700
(207) 794-6777

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
016732
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
023060
ANTHEM
ME
01
201838
NGS
ME
05
411860099
ME
Enumeration date
03/17/2006
Last updated
07/02/2009
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