| Dr Edward Walter Malin Iv, MD | |
|
46 Obery St Ste 2, Plymouth, MA 02360-2238 | |
| (508) 746-2345 | |
| (508) 747-2850 |
| Full Name | Dr Edward Walter Malin Iv |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 23 Years |
| Location | 46 Obery St Ste 2, Plymouth, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871751180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 0101242673 (Virginia) | Secondary |
| 208200000X | Plastic Surgery | 277293 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beth Israel Deaconess Hospital Plymouth | Plymouth, MA | Hospital |
| Signature Healthcare Brockton Hospital | Brockton, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jordan Physician Associates Inc | 1254321086 | 153 |
| Signature Healthcare Medical Group Inc | 7719876267 | 207 |
| Entity Name | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720037385 PECOS PAC ID: 4486567104 Enrollment ID: O20031203000426 |
| Entity Name | Signature Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508804949 PECOS PAC ID: 7719876267 Enrollment ID: O20040312000372 |
| Entity Name | Jordan Physician Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538145131 PECOS PAC ID: 1254321086 Enrollment ID: O20040514000167 |
| Entity Name | Beth Israel Deaconess Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548202641 PECOS PAC ID: 8123936119 Enrollment ID: O20041001000827 |
| Entity Name | Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902316136 PECOS PAC ID: 6305749987 Enrollment ID: O20171116001335 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward Walter Malin Iv, MD 46 Obery St Ste 2, Plymouth, MA 02360-2238 Ph: (508) 746-2345 | Dr Edward Walter Malin Iv, MD 46 Obery St Ste 2, Plymouth, MA 02360-2238 Ph: (508) 746-2345 |
Dr. Richard Moss, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 110 Long Pond Rd, Suite 201, Plymouth, MA 02360 Phone: 508-747-1322 Fax: 508-747-6612 |