Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jared Emerson Mallalieu, DO

Individual provider Surgery Physician · NPI 1033393996

Jared Emerson Mallalieu, DO is a Surgery Physician in Severna Park, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

484 Ritchie Hwy Ste A
Severna Park, MD 21146-2961
Phone: (410) 544-4600
Fax: (410) 544-0997
Show map & directions

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 number1033393996
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedDecember 27, 2007
Last updated in NPPESJune 25, 2015
Mailing address10845 Philadelphia Rd, White Marsh, MD 21162-1717

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