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Dr. Charles J. Mallo, MD
Vascular Surgery Physician in Oak Ridge, Tennessee
NPI 1558333492

Charles J. Mallo is a Vascular Surgery Physician based in Oak Ridge, TN and is specialized in Vascular Surgery. Charles J. Mallo practices in Oak Ridge, TN and has the professional credentials of MD. The NPI Number for Charles J. Mallo is 1558333492 and holds a License No. 132331-1 (Tennessee).

The current practice location address for Charles J. Mallo is 988 Oak Ridge Tpke, Oak Ridge, TN and can be reached out via phone at 865-483-7030 and via fax at 865-483-3954.

Location: 988 Oak Ridge Tpke, Oak Ridge, TN, 37830-6930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558333492
Provider Name
Charles J. Mallo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
988 Oak Ridge Tpke, Oak Ridge, TN, 37830-6930
Phone Number
865-483-7030
Fax Number
865-483-3954
Provider Enumeration Date
02/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00593242 05 NY
institution
Provider Business Practice Location Address Details
Address
988 Oak Ridge Tpke
City
Oak Ridge
State
Tennessee
Zip
37830-6930
Phone Number
865-483-7030
Fax Number
865-483-3954
person
Provider Business Mailing Address Details
Address
988 Oak Ridge Tpke
City
Oak Ridge
State
Tennessee
Zip
37830-6930
Phone Number
865-483-7030
Fax Number
865-483-3954
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
132331 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
132331 (New York)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
132331-1 (New York)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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