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ROBERT B O MALLEY, DPM – NPI #1528080389
Surgery, Foot & Ankle

NPI Profile for ROBERT B O MALLEY in WILMINGTON, NC.

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Contact Information

ROBERT B O MALLEY, DPM
1505 MEDICAL CENTER DRIVE
WILMINGTON, NC  28401
 Phone: 910-251-9880
 Fax: 910-251-9297
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

 213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ROBERT B O MALLEY · (Male)

NPI # 1528080389
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/24/2006
Last updated 12/22/2014 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 418
  • NC Medicaid 790801M
  • NC Other 1284510001 MEDICARE DMERC GROUP PTAN
  • NC Other 2433365 MEDICARE PTAN
Hospital affiliation(s)
  • NEW HANOVER REGIONAL MEDICAL CENTER - (Acute Care)
    2131 S 17TH ST BOX 9000
    WILMINGTON, NC 28402
  • PENDER MEMORIAL HOSPITAL - (Critical Access)
    507 E FREMONT ST
    BURGAW, NC 28425
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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