| Doctor Name: | DR. GERTRUD CAROLINE MALMBERG |
| NPI Number: | 1902020373 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | J7065 |
| Business Practice Address: | 663 Palisade Ave Cliffside Park, NJ - 070103012 |
| Business Phone Number: | 2019456500 |
| Business Fax Number: | 2019451157 |
| Mailing Address: | Po Box 1546, ENGLEWOOD |
| State: | NJ |
| Postal Code: | 076320546 |
| Phone Number: | 2019456500 |
| Fax Number: | 2019451157 |
| NPI Enumeration Date: | 04/13/2007 |
| NPI Last Update Date: | 12/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | J7065 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |