MALLICK Q ALAM

Dr MALLICK Q ALAM is a male medical professional, specializing in Family Medicine. He graduated in 1986.

Contact

77 GRAND AVE
NEW HAVEN
CT
065133906

Tel:

MALLICK Q ALAM Information

Npi 1467529271
Pac Id 9830356195
Professional Enrollment Id I20120130000440
Last Name ALAM
First Name MALLICK
Middle Name Q
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1986
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 77 GRAND AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City NEW HAVEN
State CT
Zip Code 065133906
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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