Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 035815 | CT |
Y | 207X00000X | Orthopaedic Surgeon | 171306 | NY |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 035815 | CT |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 171306 | NY |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 035815 | CT |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 171306 | NY |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 035815 | CT |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 171306 | NY |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 035815 | CT |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 171306 | NY |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 035815 | CT |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 171306 | NY |
NPI | 1194801944 |
---|---|
Provider Name | Martin J O'malley |
First Address | New York, NY 10021-4650 |
Second Address | New York, NY 10021-4650 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 15/01/2010 |