Provider Demographics
NPI:1730112848
Name:MALMAD, L. CELIA (DC)
Entity Type:Individual
Prefix:DR
First Name:L.
Middle Name:CELIA
Last Name:MALMAD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 299
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-0299
Mailing Address - Country:US
Mailing Address - Phone:215-538-2980
Mailing Address - Fax:215-538-3588
Practice Address - Street 1:318 N WEST END BLVD
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-2310
Practice Address - Country:US
Practice Address - Phone:215-538-2980
Practice Address - Fax:215-538-3588
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-002280L111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0023351000OtherHMO IDENTIFIER NUMBER
PA423465Medicare PIN
PA0023351000OtherHMO IDENTIFIER NUMBER