Dr. Andrea Marie Malon
Surgeon Vascular Surgeon Colorectal Surgeon Surgical Oncologist
540 Saybrook Rd Ste 100
Middletown
, Connecticut 06457-4760
Dr. Andrea Marie Malon
Surgeon Vascular Surgeon Colorectal Surgeon Surgical Oncologist
540 Saybrook Rd Ste 100
Middletown
, Connecticut 06457-4760
(860) 346-2608
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
- Surgical Oncologist
- Colorectal Surgeon
Languages spoken
- English
Location
First Address
- Dr. Andrea Marie Malon
- 862 Arbutus St
- Middletown, CT
- Zip : 06457-5177
- Phone : (860) 346-2608
Second Address
- Dr. Andrea Marie Malon
- 540 Saybrook Rd Ste 100
- Middletown, CT
- Zip : 06457-4760
- Fax : (860) 358-8698
- Phone : (860) 358-2850
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 21347 | CT |
| Y | 208600000X | Surgeon | 21347 | CT |
| N | 2086S0129X | Vascular Surgeon | 033184 | CT |
| N | 2086X0206X | Surgical Oncologist | 033184 | CT |
| N | 208C00000X | Colorectal Surgeon | 033184 | CT |
National Provider Identifier
| NPI | 1306825609 |
|---|---|
| Provider Name | Dr. Andrea Marie Malon |
| First Address | Middletown, CT 06457-5177 |
| Second Address | Middletown, CT 06457-4760 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/01/2006 |
| Last Update Date | 03/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001331842 | (05) | CT |
| F63298 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.