Longo-Malloy, Deborah

Longo-Malloy, Deborah is an individual health care provider with primary practice located at 1260 E Woodland Ave , Springfield PA 19064-3969. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Longo-Malloy, Deborah can be contacted via phone (610) 690-4490.

Contact Information

Primary practice address
1260 E Woodland Ave Springfield PA 19064-3969
Phone: (610) 690-4490
Fax: (610) 328-9391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS007506L Pennsylvania

Profile Details

NPI number 1427101328
LBN Legal business name Longo-Malloy, Deborah
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427101328 NPPES
Pennsylvania MEDICAID 00169807

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