Malon, Andrea Marie

Malon, Andrea Marie is an individual health care provider with primary practice located at 540 Saybrook Rd Ste 100 , Middletown CT 06457-4760. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Malon, Andrea Marie can be contacted via phone (860) 358-2850.

Contact Information

Primary practice address
540 Saybrook Rd Ste 100 Middletown CT 06457-4760
Phone: (860) 358-2850
Fax: (860) 358-8698
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 033184 Connecticut
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 033184 Connecticut
Allopathic & Osteopathic Physicians / Surgery 208600000X 21347 Connecticut
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 033184 Connecticut

Profile Details

NPI number 1306825609
LBN Legal business name Malon, Andrea Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Jan 4th, 2024 - about 10 months 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 1306825609 NPPES
Connecticut MEDICAID 001331842

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