Most Relevant Information
Provider Data
NPI Number: | 1003307737 |
Provider Name: | GABRIELLA LYNN MALACARI |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: |
Most Important Dates
Enumeration Date: | 05/29/2018 |
Last Updated: | 05/29/2018 |
Provider Practice Location
200 BANNING ST
DOVER
DE
199043485
Practice Location Phone/Fax
Phone: | 3027449645 |
Fax: |
Provider Mailing Location
240 S WELLES ST
WILKES BARRE
PA
187025005
Provider Mailing Phone/Fax
Phone: | |
Fax: |