Provider Demographics
NPI:1578785739
Name:MALLOY, CHRISTINE ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:ANNE
Last Name:MALLOY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9800 SHELBYVILLE RD STE 220
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-2992
Mailing Address - Country:US
Mailing Address - Phone:502-429-8585
Mailing Address - Fax:855-656-7325
Practice Address - Street 1:470 SENTRY PKWY E
Practice Address - Street 2:SUITE 200
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-2324
Practice Address - Country:US
Practice Address - Phone:610-825-5800
Practice Address - Fax:610-397-0980
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD428669207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology