Dr. Michael Keith Mallow
Physical Medicine & Rehabilitation Doctor
25 S. 9th Street 1st Floor
Philadelphia
, Pennsylvania 19107-4408
Dr. Michael Keith Mallow
Physical Medicine & Rehabilitation Doctor
25 S. 9th Street 1st Floor
Philadelphia
, Pennsylvania 19107-4408
(215) 923-6808
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. Michael Keith Mallow
- 25 S. 9th Street 1st Floor
- Philadelphia, PA
- Zip : 19107-4408
- Fax : (215) 923-6808
- Phone : (215) 955-1200
Second Address
- Dr. Michael Keith Mallow
- 25 S. 9th Street 1st Floor
- Philadelphia, PA
- Zip : 19107-4408
- Fax : (215) 923-6808
- Phone : (215) 955-1200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | MD436445 | PA |
National Provider Identifier
| NPI | 1023138237 |
|---|---|
| Provider Name | Dr. Michael Keith Mallow |
| First Address | Philadelphia, PA 19107-4408 |
| Second Address | Philadelphia, PA 19107-4408 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/03/2007 |
| Last Update Date | 26/09/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0272132 | (05) | NJ |
| 1023098190002 | (05) | PA |
| MD436445 | PA LICENSE (01) | PA |
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.