Provider Demographics
NPI:1811954548
Name:DOCTOR MALVAR & ASSOCIATE
Entity type:Organization
Organization Name:DOCTOR MALVAR & ASSOCIATE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:MALVAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-658-7765
Mailing Address - Street 1:178 ENCLAVE DR
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-3208
Mailing Address - Country:US
Mailing Address - Phone:724-658-7765
Mailing Address - Fax:724-658-1662
Practice Address - Street 1:178 ENCLAVE DR
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-3208
Practice Address - Country:US
Practice Address - Phone:724-658-7765
Practice Address - Fax:724-658-1662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1345288OtherBLUE SHIELD
PACJ3565OtherMEDICARE TRAVELERS
PACJ3565OtherMEDICARE TRAVELERS