Mallari, Juan J.
Mallari, Juan J. is an individual health care provider with primary practice located at 1440 Main Street , Waltham MA 02451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mallari, Juan J. can be contacted via phone (781) 891-9300.Contact Information
Primary practice address
1440 Main Street
Waltham MA 02451
Phone: (781) 891-9300
Fax: (781) 891-9305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 037082 | Connecticut |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 78874 | Massachusetts |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 25MA08043200 | New Jersey |
Profile Details
| NPI number | 1508834854 |
|---|---|
| LBN Legal business name | Mallari, Juan J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2006 |
| Last updated | Jan 22nd, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508834854 | NPPES |
| Connecticut | MEDICAID | 001370824 | |
| Connecticut | MEDICAID | 3175987 |
Popular Providers
-
Keene, Douglas F
20 Hope Ave Suite 107, Waltham MA 02453-2721 -
Kelly, Charles A
40 Second Ave , Waltham MA 02451 -
Boyce, David Benjamin
52 2Nd Ave Ste 200 , Waltham MA 02451-1127 -
Avadikoglu, Murat A
1440 Main St Surgisite Boston, Waltham MA 02451-1630 -
Vigna, Lucia
24 Stevens St , Norwalk CT 06850-3852 -
Dibenedetto, David J
85 1St Ave , Waltham MA 02451-1105 -
Demarino, John W
1901 Tate Springs Rd , Lynchburg VA 24501-1109 -
Brooks, Jeffrey C
2900 Lamb Cir Ste 340, Christiansburg VA 24073-6344