person
Mallick Qaiser Alam, MD
General Practice Physician in New Haven, Connecticut
NPI 1467529271

Mallick Qaiser Alam is a General Practice Physician based in New Haven, CT. Mallick Qaiser Alam practices in New Haven, CT and has the professional credentials of MD. The NPI Number for Mallick Qaiser Alam is 1467529271 and holds a License No. 034112 (Connecticut).

The current practice location address for Mallick Qaiser Alam is 77 Grand Ave, New Haven, CT and can be reached out via phone at 203-562-8697 and via fax at 203-562-1822. You can also correspond with Mallick Qaiser Alam through the mailing address at 77 GRAND AVE, NEW HAVEN, CT - 06513-3906 (mailing address contact number: 203-562-8697).

Location: 77 Grand Ave, New Haven, CT, 06513-3906
person
Provider Profile Details
NPI Number
1467529271
Provider Name
Mallick Qaiser Alam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
77 Grand Ave, New Haven, CT, 06513-3906
Phone Number
203-562-8697
Fax Number
203-562-1822
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
77 Grand Ave
City
State
Zip
06513-3906
Phone Number
203-562-8697
Fax Number
203-562-1822
person
Provider Business Mailing Address Details
Address
77 Grand Ave
City
State
Zip
06513-3906
Phone Number
203-562-8697
Fax Number
203-562-1822
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
034112 (Connecticut)
Definition
Definition to come...
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