Individual provider · Type 1 NPI

Brian Henry Malone

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1164089694 Active

Practice location

111 S 11th St Ste 8290
Philadelphia, PA 19107-4824

Call (215) 955-2370 Map

Fax (215) 955-0677

Other practice locations

  • 111 S 11th St Ste 8270, Philadelphia, PA 19107-4824 · (215) 955-2370

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000XOS023736 (PA)
Student in an Organized Health Care Education/Training Program Primary 390200000XOT019069 (PA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1164089694

Brian Henry Malone's National Provider Identifier is 1164089694, issued on May 21, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 9, 2024.