Jared Mallalieu, PA
Jared Mallalieu, PA is a Surgery Physician in Severna Park, Maryland. Licensed in Maryland. Registered with an NPI since 2009.
- Licensed in
- MD
- In the registry since
- 2009
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
484 Ritchie Hwy Ste ASeverna Park, MD 21146-2961
Phone: (410) 544-4600
Fax: (410) 544-0997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence H68311 (MD) |
|---|
Record details
| NPI number | 1053542985 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jared Mallalieu — Owner/Director · (410) 544-4600 |
| NPI enumerated | July 27, 2009 |
| Last updated in NPPES | August 17, 2015 |
| Mailing address | 10845 Philadelphia Rd, White Marsh, MD 21162-1717 |
Other providers in Severna Park
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Jared Emerson Mallalieu, DO
484 Ritchie Hwy Ste A, Severna Park, MD 21146-2961 · (410) 544-4600