Dr. Adnan M Mallick, MD
Ophthalmology in Bloomfield, New Jersey
1437597366- Practice location
- 1255 Broad St Ste 104, Bloomfield, NJ 07003-3061
- Phone
- 973-707-5632
- Fax
- 973-707-7349
- Last updated
- March 22, 2022
Adnan M. Mallick is an Ophthalmology based in Bloomfield, NJ. Adnan M. Mallick practices in Bloomfield, NJ and has the professional credentials of MD. The NPI Number for Adnan M. Mallick is 1437597366 and holds a License No. 277002 (NY). The current practice location address for Adnan M. Mallick is 1255 Broad St Ste 104, Bloomfield, NJ 07003-3061 and can be reached out via phone at 973-707-5632 and via fax at 973-707-7349.
Provider Profile Details
- NPI Number
- 1437597366
- Provider Name
- Adnan M. Mallick
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1255 Broad St Ste 104, Bloomfield, NJ 07003-3061
- Phone Number
- 973-707-5632
- Fax Number
- 973-707-7349
- Primary Taxonomy
- Ophthalmology · 207W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 13, 2013
- Last Update Date
- March 22, 2022
- Certification Date
- March 10, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1255 Broad St Ste 104
Bloomfield, NJ 07003-3061 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-3061
- Phone Number
- 973-707-5632
- Fax Number
- 973-707-7349
Provider Business Mailing Address Details
- Address
- 1 Corporate Dr
Wayne, NJ 07470-3112 - City
- Wayne
- State
- NJ
- Zip
- 07470-3112
- Phone Number
- 973-987-3380
- Fax Number
- 866-806-3675
License Information
- License Number (1)
- 277002
- License State (1)
- NY
- Taxonomy (1)
- Ophthalmology, Retina Specialist · 207WX0107X
- License Number (2)
- 25MA10886200
- License State (2)
- NJ
- Taxonomy (2)
- Ophthalmology, Retina Specialist · 207WX0107X
- License Number (3)
- 25MA10886200
- License State (3)
- NJ
- Taxonomy (3)
- Ophthalmology · 207W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Adnan M Mallick, MD?
The NPI number of Dr. Adnan M Mallick, MD is 1437597366. It was assigned on June 13, 2013 and is currently active in the NPPES registry.
What is the specialty of Dr. Adnan M Mallick, MD?
Dr. Adnan M Mallick, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in NY under license number 277002.
Where does Dr. Adnan M Mallick, MD practice?
The practice location is 1255 Broad St Ste 104, Bloomfield, NJ 07003-3061. The office can be reached at 973-707-5632 (phone) or 973-707-7349 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437597366 directly on the NPPES registry website.