Baird Mallory, MD

NPI #1942204466 in Portland, Maine

Provider Information

NPI Number: 1942204466
Entity Type: Individual
Name: Baird Mallory, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery - Pediatric Surgery
Credential: MD
Enumeration Date: Jun 13, 2005
Last Updated: Jan 5, 2012

Practice Location

Address: 887 CONGRESS ST
Address 2: SUITE 300
City: Portland
State: Maine
ZIP Code: 04102
Phone: (207) 662-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Pediatric Surgery — Pediatric Surgery	2086S0120X	Primary

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