Provider Demographics
NPI:1659367258
Name:MALONE, JAMES P (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:MALONE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:875 POPLAR CHURCH RD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2203
Mailing Address - Country:US
Mailing Address - Phone:717-763-7400
Mailing Address - Fax:717-763-4177
Practice Address - Street 1:875 POPLAR CHURCH RD
Practice Address - Street 2:STE 320
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2203
Practice Address - Country:US
Practice Address - Phone:717-763-7400
Practice Address - Fax:717-763-4177
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2014-03-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD063070L207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1659367258OtherNPI
PA028715Medicare PIN