Organization · Type 2 NPI
Jared Mallalieu, PA
Surgery Physician · Severna Park, MD
Practice location
484 Ritchie Hwy, Suite A
Severna Park, MD 21146-2961
Fax (410) 544-0997
Mailing address
10845 Philadelphia Rd
White Marsh, MD 21162-1717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician Primary | 208600000X | H68311 (MD) |
Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…
Another provider at this address
About NPI 1053542985
Jared Mallalieu, PA's National Provider Identifier is 1053542985, issued on Jul 27, 2009. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Severna Park, MD. The record was last updated on Aug 17, 2015.