Provider Demographics
NPI:1447471859
Name:MALEY, ANN JENNINGS (MD)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:JENNINGS
Last Name:MALEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 FOXON RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06471-1287
Mailing Address - Country:US
Mailing Address - Phone:203-484-7334
Mailing Address - Fax:203-484-7301
Practice Address - Street 1:999 FOXON RD
Practice Address - Street 2:
Practice Address - City:NORTH BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06471-1287
Practice Address - Country:US
Practice Address - Phone:203-484-7334
Practice Address - Fax:203-484-7301
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT045334208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics