Dr. Nicole Christine Mallory
Pediatrician Pediatric Hematology-Oncologist
300 2nd Ave
Long Branch
, New Jersey 07740-6303
Dr. Nicole Christine Mallory
Pediatrician Pediatric Hematology-Oncologist
300 2nd Ave
Long Branch
, New Jersey 07740-6303
(732) 923-7451
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About
Features
Specialties
- Pediatrician
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Dr. Nicole Christine Mallory
- 300 2nd Ave
- Long Branch, NJ
- Zip : 07740-6303
- Fax : (732) 923-7451
- Phone : (732) 923-7455
Second Address
- Dr. Nicole Christine Mallory
- 300 2nd Ave
- Long Branch, NJ
- Zip : 07740-6303
- Fax : (732) 923-7451
- Phone : (732) 923-7455
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 25MA10637200 | NJ |
| Y | 2080P0207X | Pediatric Hematology-Oncologist | 25MA10637200 | NJ |
National Provider Identifier
| NPI | 1275809741 |
|---|---|
| Provider Name | Dr. Nicole Christine Mallory |
| First Address | Long Branch, NJ 07740-6303 |
| Second Address | Long Branch, NJ 07740-6303 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2012 |
| Last Update Date | 29/08/2019 |
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.