Search › New Jersey › 2080P0207X
Nicole Mallory, MD
NPI 1275809741 · on the registry since 2012
Practice
- Address
- 300 2nd Ave
Long Branch, NJ 07740 - Phone
- (732) 923-7455
- Fax
- (732) 923-7451
- Organisation at this address
- Janet Rustia
Diagnostic Genetics
Mmc Provider Services
Monmouth Medical Center
Monmouth Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 372
Additional practice sites
- 160 E 32nd St Fl 3, New York, NY
Registry record
- Primary taxonomy
- 2080P0207X
2080P0207X
- Also registered as
- 208000000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-06
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 New Jersey