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Search › Pennsylvania › 207RN0300X

Samir Mallat

NPI 1487113627 · on the registry since 2019

Practice

Address
88 Osborne St
Johnstown, PA 15905
Phone
(814) 619-3373
Organisation at this address
St Georges Lab Llc
Prodigy Dialysis Llc
Paul V Woolley, Md, Pc
Home Dialysis Care Llc
Renal Care Consultants, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
207RN0300X
207RN0300X
Also registered as
207RH0005X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-03-18

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 Pennsylvania