Mallozzi, Marino D
Mallozzi, Marino D is an individual health care provider with primary practice located at 446 N Reading Rd Suite 301, Ephrata PA 17522-9802. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mallozzi, Marino D can be contacted via phone (717) 733-6546.Contact Information
Primary practice address
446 N Reading Rd Suite 301
Ephrata PA 17522-9802
Phone: (717) 733-6546
Fax: (717) 733-6010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD056528L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD056528L | Pennsylvania |
Profile Details
| NPI number | 1558377648 |
|---|---|
| LBN Legal business name | Mallozzi, Marino D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Apr 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558377648 | NPPES |
| Pennsylvania | Other | P00269502 | RAILROAD MEDICARE |
| Pennsylvania | MEDICAID | 0015302170001 | RAILROAD MEDICARE |
| Pennsylvania | Other | 783382 | RAILROAD MEDICARE |
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