Doctor Name: | FRANK J MALINOSKI |
NPI Number: | 1689908642 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, PHD |
License Number: | D0034048 |
Business Practice Address: | 1115 Willow Pond Ln Leland, NC - 284517450 |
Business Phone Number: | 9105997058 |
Business Fax Number: | |
Mailing Address: | 1115 Willow Pond Ln, LELAND |
State: | NC |
Postal Code: | 284517450 |
Phone Number: | 9105997058 |
Fax Number: | |
NPI Enumeration Date: | 09/23/2009 |
NPI Last Update Date: | 09/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D0034048 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |