DIANE MALLACH CSW

Dr DIANE MALLACH CSW is a female medical professional, specializing in Clinical Social Worker. She graduated in 1973.

Contact

248 LORRAINE AVE
UPPER MONTCLAIR
NJ
070431454

Tel: 2017877142

DIANE MALLACH CSW Information

Npi 1508966417
Pac Id 9436114535
Professional Enrollment Id I20041201000052
Last Name MALLACH
First Name DIANE
Middle Name
Suffix
Gender F
Credential CSW
Medical School Name OTHER
Graduation Year 1973
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 248 LORRAINE AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City UPPER MONTCLAIR
State NJ
Zip Code 070431454
Phone Number 2017877142
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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