Search › Maryland › 208600000X
Jared Mallalieu, D.O
NPI 1033393996 · on the registry since 2007
Practice
- Address
- 484 Ritchie Hwy Ste A
Severna Park, MD 21146 - Phone
- (410) 544-4600
- Fax
- (410) 544-0997
- Organisation at this address
- Quick Care Md Llc
Jared Mallalieu, Pa
Laser Surgery Center, Inc
Ross Van Antwerp Do Mph Pa Laser Center Of MarylandInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-06-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland