Organization
ALBERT K MALL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT K MALL MD (OWNER MD)
(814) 262-7980
Entity
Organization
Contact information
Practice address
1111 FRANKLIN ST, SUITE 230, JOHNSTOWN, PA 15905
(814) 262-7980
(814) 262-7983
Mailing address
1111 FRANKLIN ST, SUITE 230, JOHNSTOWN, PA 15905
(814) 262-7980
(814) 262-7983
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD023412E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015110720001
—
PA
01
—
1772345
BCBS
PA
01
—
DE7604
RAILROAD MEDICARE
PA
Enumeration date
06/17/2006
Last updated
05/14/2008
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