Provider Demographics
NPI:1659428159
Name:O'MALLEY, PATRICK G (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:G
Last Name:O'MALLEY
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2 WRAMC RM 2J38
Mailing Address - Street 2:6900 GEORGIA AVE
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20307-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2 WRAMC DEPARTMENT
Practice Address - Street 2:6900 GEORGIA AVE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0001
Practice Address - Country:US
Practice Address - Phone:202-782-5599
Practice Address - Fax:202-782-7363
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY190246207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine