person
Timothy Mallon
Student in an Organized Health Care Education/Training Program in Fairfield, Connecticut
NPI 1871121665

Timothy Mallon is a Student in an Organized Health Care Education/Training Program based in Massapequa, CT. Timothy Mallon practices in Fairfield, CT. The NPI Number for Timothy Mallon is 1871121665 and holds a License No. (Connecticut).

The current practice location address for Timothy Mallon is 5151 Park Ave, Fairfield, CT and can be reached out via phone at 203-371-7999.

Location: 5151 Park Ave, Fairfield, CT, 11758-7807
person
Provider Profile Details
NPI Number
1871121665
Provider Name
Timothy Mallon
Credential
Provider Entity Type
Individual
Gender
Male
Address
5151 Park Ave, Fairfield, CT, 11758-7807
Phone Number
203-371-7999
Fax Number
Provider Enumeration Date
03/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5151 Park Ave
City
State
Zip
06825-1090
Phone Number
203-371-7999
Fax Number
person
Provider Business Mailing Address Details
Address
5151 Park Ave
City
State
Zip
06825-1090
Phone Number
203-371-7999
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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