Individual provider · Type 1 NPI

Timothy Mallon

Student in an Organized Health Care Education/Training Program · Fairfield, CT

NPI number 1871121665 Active

Practice location

5151 Park Ave
Fairfield, CT 06825-1090

Call (203) 371-7999 Map

Mailing address

98 Forest Ave
Massapequa, NY 11758-7807

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1871121665

Timothy Mallon's National Provider Identifier is 1871121665, issued on Mar 29, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fairfield, CT. The record was last updated on Mar 29, 2020.