Doctor Name: | DR. ROBERTA S. MALONE |
NPI Number: | 1598187650 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | MD21207 |
Business Practice Address: | 8700 Central Ave 205 Landover, MD - 207854831 |
Business Phone Number: | 2406193407 |
Business Fax Number: | |
Mailing Address: | 634 Browns Ct Se, WASHINGTON |
State: | DC |
Postal Code: | 200031231 |
Phone Number: | 2023931967 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2014 |
NPI Last Update Date: | 05/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD21207 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |