Mark Mitchell Malicki in Johnstown - Family Medicine
Mark Mitchell Malicki - NPI 1083619209
Mark Mitchell Malicki is a Family Medicine in Johnstown, Pennsylvania. Mark Mitchell Malicki practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark Mitchell Malicki is 1083619209. The last update date is 2010-06-17.
Mark Mitchell Malicki's current location address is 322 Warren St, Johnstown, Pennsylvania. You can contact this provider via phone number 8142881418 and fax number 8142881525. The mailing address for Mark Mitchell Malicki is 322 Warren St, Johnstown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Mitchell Malicki |
|---|---|
| Address | 322 Warren St, Johnstown, Pennsylvania |
| Phone Number | 8142881418 |
| Fax Number | 8142881525 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1083619209 |
|---|---|
| Provider Enumeration Date | 2005-06-15 |
| Last Updated Date | 2010-06-17 |
Provider Mailing Address Detail
| Address | 322 Warren St |
|---|---|
| City | Johnstown |
| State | Pennsylvania (PA) |
| Post Code | 1590534430 |
| Phone Number | 8142881418 |
| Fax Number | 8142881525 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD069004L |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17621130005 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Mitchell Malicki by the Centers for Medicare & Medicaid Services (CMS)?
The Mark Mitchell Malicki has been assigned the NPI (National Provider Identifier) 1083619209. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Mark Mitchell Malicki?
The Mark Mitchell Malicki is situated at 322 Warren St, in the city of Johnstown, state of PA, with the zip code 1590534430.
What is Mark Mitchell Malicki's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark Mitchell Malicki is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
When was the Mark Mitchell Malicki's 1083619209 issued?
The Mark Mitchell Malicki's 1083619209 was issued on 2005-06-15.
As of what date were the Mark Mitchell Malicki's details last updated?
The information pertaining to the Mark Mitchell Malicki, including its address, specialty, and other details, was most recently updated on 2010-06-17.