NPI 1083092241 · live from the CMS NPI Registry
John Robert Malta, D.O.
Psychiatry & Neurology, Neurology in Auburn, ME. National Provider Identifier 1083092241, active.
NPI record
| NPI | 1083092241 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 10 Minot Ave, Auburn, ME 04210 |
| Practice phone | 207-795-2927 |
| Enumerated | May 8, 2015 |
| Last updated | October 31, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OT016535 (PA) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | DO3192 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.