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1740535004
DEOBRAT CHANDRA MALLICK
SCRANTON, PA
NPI
1740535004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MT200781)
Enumeration Date
2012-07-23
Last Update Date
2012-07-23
Business Address
Dr. DEOBRAT CHANDRA MALLICK M.D.
205 TALL TREES DR
SCRANTON, PA 18505-2239
Phone number: 570-687-7332
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Mailing Address
Dr. DEOBRAT CHANDRA MALLICK M.D.
205 TALL TREES DR
SCRANTON, PA 18505-2239
Phone number: 570-687-7332
Copy
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