Individual
ANN VALERIE MALANTIC-LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
106 S CLAUDE A LORD BLVD, POTTSVILLE, PA 17901-3637
(570) 622-4209
(570) 622-1386
Mailing address
106 S CLAUDE A LORD BLVD, POTTSVILLE, PA 17901-3637
(570) 622-4209
(570) 622-1386
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD070535L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000501263
BLUE SHIELD
PA
05
—
0018255540001
—
PA
01
—
0473231
US HEALTHCARE
PA
01
—
110215361
RAILROAD MEDICARE PBA
PA
01
—
50047338
KEYSTONE SPECIALIST
PA
01
—
50047341
CAPITAL BLUE CROSS
PA
01
—
62096
GEISINGER HEALTH PLAN
PA
Enumeration date
02/08/2006
Last updated
05/18/2010
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