Mallory, Nicole Christine
Mallory, Nicole Christine is an individual health care provider with primary practice located at 300 2Nd Ave , Long Branch NJ 07740-6303. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Mallory, Nicole Christine can be contacted via phone (732) 923-7455.Contact Information
Primary practice address
300 2Nd Ave
Long Branch NJ 07740-6303
Phone: (732) 923-7455
Fax: (732) 923-7451
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA10637200 | New Jersey |
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 25MA10637200 | New Jersey |
Profile Details
NPI number | 1275809741 |
---|---|
LBN Legal business name | Mallory, Nicole Christine |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 28th, 2012 |
Last updated | Sep 6th, 2022 - about 3 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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