Provider Demographics
NPI:1831135193
Name:MALONE, BARBARA NEWMAN (MD)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:NEWMAN
Last Name:MALONE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2080 WOODWINDS DRIVE
Mailing Address - Street 2:#120
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125
Mailing Address - Country:US
Mailing Address - Phone:651-702-0750
Mailing Address - Fax:651-645-6166
Practice Address - Street 1:2080 WOODWINDS DRIVE
Practice Address - Street 2:#120
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125
Practice Address - Country:US
Practice Address - Phone:651-702-0750
Practice Address - Fax:651-702-0749
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN27918207Y00000X, 207YP0228X, 2086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Not Answered207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
Not Answered2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN4077288000Medicaid
A94630Medicare UPIN