Individual
MR. MICHAEL THOMAS MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1010 MASSACHUSETTS AVE, BOSTON, MA 02118-2600
(617) 534-5611
Mailing address
1010 MASSACHUSETTS AVE, BOSTON, MA 02118-2600
(617) 534-5611
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
207979
MA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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