MRS. MARY GENTILE MALLON


Address: 3601 A St, Philadelphia, PA 19134-1043
Phone: 2154275230

MRS. MARY GENTILE MALLON (NPI# 1336359827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336359827
Entity Type Individual
Full Name MRS. MARY GENTILE MALLON
Credential M.D.
Practice Address 3601 A St
Philadelphia
PA 19134-1043
Mailing Address 31 Carriage House Dr
Holland
PA 18966-2224
Practice Telephone 2154275230
Mailing Telephone 2679946325
Enumeration Date 2007-05-23
Last Update Date 2013-04-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
MT190813 PA Allopathic & Osteopathic Physicians

Other Providers MARY MALLON

NPI Name Taxonomy Address Enumeration
1265593123 Mary C Mallon Occupational Therapist 2318 W 20th Ave, Eugene, OR 97405-1360 2006-12-13
1720270317 Mary Ann Mallon Technician/Technologist 4000 Mitchellville Rd, Suite B-128, Bowie, MD 20716-3104 2007-08-16

Office Location

Street Address 3601 A ST
City PHILADELPHIA
State PA
Zip Code 19134-1043

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376545095 Richard Henry Parrish II Pharmacist 3601 A St, Philadelphia, PA 19134-1043 2005-08-12
1912546813 Kelsey Cakanac Registered Nurse 3601 A St, Philadelphia, PA 19134-1043 2019-12-26
1932682671 Temple Faculty Practice Plan, Inc Pediatrics 3601 A St, Philadelphia, PA 19134-1043 2018-09-10
1730597360 Kelly Wheeler Nurse Practitioner 3601 A St, Philadelphia, PA 19134-1043 2014-07-28
1124434634 Chelsea Eppolito Dentist 3601 A St, Philadelphia, PA 19134-1043 2014-07-03
1316350366 Charlene Jones General Acute Care Hospital 3601 A St, Philadelphia, PA 19134-1043 2014-06-07
1619380888 Karisa Carroll Dentist 3601 A St, St. Christopher's Hospital for Children, Philadelphia, PA 19134-1043 2014-06-05
1629480470 Manette Ness-cochinwala Pediatrics 3601 A St, Philadelphia, PA 19134-1043 2014-05-28
1689086423 Sophia Baig Pediatrics 3601 A St, Philadelphia, PA 19134-1043 2014-05-28
1720490055 Jeannette Giammattei Pediatrics 3601 A St, Philadelphia, PA 19134-1043 2014-05-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871137208 My Philadelphia Pharmacy Inc Pharmacy 2901 E Thompson St, Front Store, Philadelphia, PA 19134 2019-10-29
1588125793 Bret Johnson Student in an Organized Health Care Education/Training Program Pediatric Residency Program, 160 East Erie Ave, Philadelphia, PA 19134 2019-03-29
1053881672 Ana Y Almanzar Psychologist 3513 North Water Street, Philadelphia, PA 19134 2018-11-27
1861974206 Stephanie C Curtis Registered Nurse St. Christopher's Hospital for Children 160 E Erie Ave, Philadelphia, PA 19134 2018-09-01
1700371978 Kristi Ford Nurse Practitioner 160 E Erie Ave # 21542, Philadelphia, PA 19134 2018-06-28
1700370178 Natalie Martinez Case Manager/Care Coordinator 3528 I St Ste 1, Philadelphia, PA 19134 2018-06-19
1205352309 Personal Injury Clinic PC Chiropractor 2301 E Allegheny Ave Ste 305a, Philadelphia, PA 19134 2017-08-21
1306376280 Port Richmond Counseling Practices Clinic/Center 3110 Aramingo Ave, Suite 1, Philadelphia, PA 19134 2017-06-14
1760864441 Jason Roy Toews Pediatrics 160 East Eire Ave, St. Christopher's Hospital for Children, Philadelphia, PA 19134 2015-06-18
1376933291 David Tanney Yusavitz Nurse Practitioner 160 E Erie Ave Ste 2015, Philadelphia, PA 19134 2015-01-30
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063067635 Jefferson University Radiology Associates, LLC Radiology 3 Crescent Dr Ste 1002, Philadelphia, PA 19112-1016 2019-08-09
1033649975 Dinh-huy Do Nguyen Radiology 5501 Old York Rd Ste 363, Philadelphia, PA 19141-3018 2017-06-13
1467809418 Jeffrey Burgess Radiology 1215 Spruce St Apt 201, Philadelphia, PA 19107-5620 2016-05-19
1649632399 Myron Blumberg Radiology 317 S 22nd St, Philadelphia, PA 19103-6528 2016-03-22
1144633074 Daniel Robert Wahl Radiology 3400 Spruce Street - 1 Silverstein, Department of Radiology / Abdominal Imaging, Philadelphia, PA 19104 2014-06-09
1235564337 Ron Benjamin Radiology 2055 E Fletcher St, Philadelphia, PA 19125 2013-09-08
1831454867 Ryan Michael Bonshock Radiology 4220 Market St Fl 2, Philadelphia, PA 19104-3007 2012-07-05
1730498601 Robert A Perkins Jr. Radiology 132 S 10th St Ste 1099j, Philadelphia, PA 19107-5244 2010-09-27
1457677007 Michael Richard Acord Radiology 3401 Civic Blvd, Division of Radiology, Philadelphia, PA 19104 2010-04-07
1780918375 Mollie Mcginley Radiology 1835 Arch St, Apartment 305, Philadelphia, PA 19103-2712 2009-09-29
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Competitor

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City PHILADELPHIA
Zip Code 19134

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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