Provider Demographics
NPI:1932369246
Name:MALONEY, STEPHEN P (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:P
Last Name:MALONEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:110 LIBERTY STREET
Mailing Address - Street 2:DEPARTMENT OF SURGERY
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-5521
Mailing Address - Country:US
Mailing Address - Phone:508-894-0400
Mailing Address - Fax:508-894-0757
Practice Address - Street 1:110 LIBERTY ST
Practice Address - Street 2:DEPARTMENT OF SURGERY
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-5521
Practice Address - Country:US
Practice Address - Phone:508-894-0400
Practice Address - Fax:508-894-0757
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2011-09-01
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Provider Licenses
StateLicense IDTaxonomies
MA2400612086S0129X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery