Mallick Qaiser Alam, MD Valid NPI

Individual provider · General Practice Physician · New Haven, CT

NPI

1467529271

Type

Individual (Type 1)

Primary specialty

General Practice Physician (General Practice)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208D00000X

License number

034112 (CT)

Sex

Male

Sole proprietor

No

Enumerated

2006-11-29

Last updated

2007-07-08