Provider Demographics
NPI:1730180027
Name:MALARO, MARGARET DECKER (MD)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:DECKER
Last Name:MALARO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARGARET
Other - Middle Name:CAUTHORN
Other - Last Name:DECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 12622
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4017
Mailing Address - Country:US
Mailing Address - Phone:443-481-6572
Mailing Address - Fax:443-481-6515
Practice Address - Street 1:202 COURSEVALL DR
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:MD
Practice Address - Zip Code:21617-2804
Practice Address - Country:US
Practice Address - Phone:410-758-3303
Practice Address - Fax:410-758-3310
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2013-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0055127207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD9118749OtherCIGNA PIN
MDP16282OtherCAREFIRST MPOS
MD028274OtherJHHC PROVIDER NUMBER
MD355703100Medicaid
83108504OtherBCBS MD
P8650002OtherBCBS DC
MD8145086OtherMAMSI PRIMARY CARE
MD831085-03OtherCAREFIRST MD RENDERING
MDP00208139OtherRR MEDICARE
MD7605-0065OtherCAREFIRST BLUECHOICE
P18698OtherBCBS POS
MD2145086OtherMAMSI SPECIALIST
MD3481753OtherAETNA CAPITATED
MD5965386OtherAETNA FEE FOR SERVICE
MD5965386OtherAETNA FEE FOR SERVICE
P18698OtherBCBS POS
MD9118749OtherCIGNA PIN
137RZDWSMedicare PIN