Provider Demographics
NPI:1831370022
Name:NANCY HYKEL-MALONE, M.D. INTERNAL MEDICINE, CORPORATION
Entity type:Organization
Organization Name:NANCY HYKEL-MALONE, M.D. INTERNAL MEDICINE, CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:C
Authorized Official - Last Name:HYKEL-MALONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-353-8300
Mailing Address - Street 1:3409 W CHESTER PIKE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-4290
Mailing Address - Country:US
Mailing Address - Phone:610-353-8300
Mailing Address - Fax:610-356-1243
Practice Address - Street 1:3409 WEST CHESTER PIKE
Practice Address - Street 2:SUITE 202
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:19073
Practice Address - Country:US
Practice Address - Phone:610-353-8300
Practice Address - Fax:610-356-1243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD033160E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB41678Medicare UPIN