Mallo, Charles J.
Mallo, Charles J. is an sole proprietor health care provider with primary practice located at 988 Oak Ridge Tpke Suite 350, Oak Ridge TN 37830-6930. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Mallo, Charles J. can be contacted via phone (865) 483-7030.Contact Information
Primary practice address
988 Oak Ridge Tpke Suite 350
Oak Ridge TN 37830-6930
Phone: (865) 483-7030
Fax: (865) 483-3954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 132331-1 | New York |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 132331 | New York |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 132331 | New York |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 49148 | Tennessee |
Profile Details
| NPI number | 1558333492 |
|---|---|
| LBN Legal business name | Mallo, Charles J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2006 |
| Last updated | May 29th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558333492 | NPPES |
| New York | MEDICAID | 00593242 |
Popular Providers
-
Madsen, Kenneth
1075 N Curtis Rd Ste 101 , Boise ID 83706-1348 -
Hakaim, Albert
4500 San Pablo Rd S , Jacksonville FL 32224-1865 -
Alcorn, George L.
1373 E State Road 62 Ste 1D , Madison IN 47250-7328 -
Basile, Richard M
369 South St Suite 1, Pittsfield MA 01201-6803 -
Paolini, David John
7165 E University Dr Ste 183 , Mesa AZ 85207-6415 -
Stanley, David Granville
988 Oak Ridge Tpke Physicians Plaza, Ste 350, Oak Ridge TN 37830-6930 -
Franz, Randall William
1325 Eastmoreland Ave Ste 365 , Memphis TN 38104-7542 -
Kreienberg, Paul Boyd
391 Myrtle Ave., Suite 5 The Vascular Group, Pllc, Albany NY 12208-3412