John R. Malloy MD
Psychiatry Physician in Burlington, VT(View on Map)
Full Name
John Robert Malloy MD
NPI Number
1083646798
NPI Type
Individual Provider
Gender
Male
Enumeration Date
07/06/2006
Specialties
(Taxonomies)Licenses
State
Vermont
License Number
042-0008866
Contact
Information
Purpose
Mailing
Location
Address
1589 PRINDLE RD
300 FLYNN AVE
City
Charlotte
Burlington
State
VT
VT
Postal Code
05445-9180
05401-5301
Country
US
US
Telephone Number
(802) 425-5442
(802) 658-0400
Identifiers
Identifier
0VN0340
Identifier State
VT
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/21/2009
Provider Address
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