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1063611788
CHARLES J. MALLO
PORTLAND, ME
NPI
1063611788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: ME DO2378)
Enumeration Date
2007-07-12
Last Update Date
2023-08-16
Business Address
Dr. CHARLES J. MALLO DO
216 VAUGHAN ST
PORTLAND, ME 04102-3204
Phone number: 207-662-2221
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Mailing Address
Dr. CHARLES J. MALLO DO
78 ATLANTIC PL
SOUTH PORTLAND, ME 04106-2316
Phone number: 207-661-6654
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