Provider Demographics
NPI:1518260876
Name:MALONEY, ANDREW O'CONNOR (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:O'CONNOR
Last Name:MALONEY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1900 CENTRACARE CIR # 2300
Mailing Address - Street 2:CENTRACARE CLINIC WOMEN & CHILDREN
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-5000
Mailing Address - Country:US
Mailing Address - Phone:320-654-3610
Mailing Address - Fax:402-559-5137
Practice Address - Street 1:1900 CENTRACARE CIR # 2300
Practice Address - Street 2:CENTRACARE CLINIC WOMEN & CHILDREN
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-5000
Practice Address - Country:US
Practice Address - Phone:320-654-3610
Practice Address - Fax:402-559-5137
Is Sole Proprietor?:No
Enumeration Date:2010-12-08
Last Update Date:2013-05-08
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Provider Licenses
StateLicense IDTaxonomies
NE6260208000000X
MN56202208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics