NPI 1467529271

Mallick Qaiser Alam, MD

Practitioner General Practice Physician New Haven, CT

Practice location

Address: 77 Grand Ave, New Haven, CT 06513-3906
Phone: (203) 562-8697
Fax: (203) 562-1822

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 034112 (CT)

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Registry record

NPI: 1467529271
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.