Timothy Mallon
Timothy Mallon is a Student in an Organized Health Care Education/Training Program in Fairfield, Connecticut. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
5151 Park AveFairfield, CT 06825-1090
Phone: (203) 371-7999
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1871121665 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 29, 2020 |
| Last updated in NPPES | March 29, 2020 |
| Certification date | March 29, 2020 |
| Mailing address | 98 Forest Ave, Massapequa, NY 11758-7807 |
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