Individual
DR. FREDERIC J MALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 PRINCETON PIKE, BUILDING 1, LAWRENCEVILLE, NJ 08648-2300
(609) 896-0101
Mailing address
3100 PRINCETON PIKE, BUILDING 1, LAWRENCEVILLE, NJ 08648-2300
(609) 896-0101
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35918
NJ
Other
Enumeration date
02/04/2006
Last updated
11/24/2009
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