Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES J. MALLO, M.D.
Active Sole ProprietorDR. CHARLES J. MALLO, M.D. is a Vascular Surgery healthcare provider located in OAK RIDGE, Tennessee. NPI 1558333492 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · OAK RIDGE, TN
Registration Details
- NPI Number
- 1558333492
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 5, 2006 (20.560415112326 yrs)
- Last Updated
- May 29, 2014
- Licenses
-
132331-1 (NY)132331 (NY)132331 (NY)49148 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
988 OAK RIDGE TPKESUITE 350OAK RIDGE, TN, 378306930Browse TN providers · Browse ZIP 37830
- Phone
- 8654837030
- Fax
- 8654833954
- Primary Specialty
-
Vascular Surgery
2086S0129X
- Additional Specialty
- General Surgery
- Additional Specialty
- Vascular Surgery
- Additional Specialty
- Vascular Surgery
Other Vascular Surgery Providers in OAK RIDGE, TN
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID GRANVILLE STANLEY | M.D. | 1265418032 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.