Provider Demographics
NPI:1225016389
Name:MALLINGER, ALAN G (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:G
Last Name:MALLINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 N CRAIG ST
Mailing Address - Street 2:SUITE 217
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2744
Mailing Address - Country:US
Mailing Address - Phone:412-681-9902
Mailing Address - Fax:412-681-9904
Practice Address - Street 1:128 N CRAIG ST
Practice Address - Street 2:SUITE 217
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2744
Practice Address - Country:US
Practice Address - Phone:412-681-9902
Practice Address - Fax:412-681-9904
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-015685-E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA153874Medicare ID - Type Unspecified
PAB40069Medicare UPIN