Marshall, Mallika Joy

Marshall, Mallika Joy is an individual health care provider with primary practice located at 151 Everett Ave Chc, Chelsea Healthcare Center Urgent Care, Chelsea MA 02150. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Marshall, Mallika Joy can be contacted via phone (617) 884-8302.

Contact Information

Primary practice address
151 Everett Ave Chc, Chelsea Healthcare Center Urgent Care Chelsea MA 02150
Phone: (617) 884-8302
Fax: (617) 887-3704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 157854 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 157854 Massachusetts

Profile Details

NPI number 1881667483
LBN Legal business name Marshall, Mallika Joy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 23rd, 2012 - about 12 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 1881667483 NPPES
Massachusetts Other J22202 BCBS MA
Massachusetts MEDICAID 0124702 BCBS MA
Massachusetts Other 404792 BCBS MA

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