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1053542985
JARED MALLALIEU, PA
SEVERNA PARK, MD
NPI
1053542985
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Entity Type
Organization
Authorized Contact
JARED EMERSON MALLALIEU
Owner/Director
410-544-4600
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MD H68311)
Enumeration Date
2009-07-27
Last Update Date
2015-08-17
Business Address
JARED MALLALIEU, PA
484 RITCHIE HWY SUITE A
SEVERNA PARK, MD 21146-2961
Phone number: 410-544-4600
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Mailing Address
JARED MALLALIEU, PA
10845 PHILADELPHIA RD
WHITE MARSH, MD 21162-1717
Phone number: 410-335-0008
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