Organization · NPI-2

A. Tariq Malik, MD, INC.

Internal Medicine, Gastroenterology · Gardner, MA

NPI number1477552750
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1477552750
Entity type
Organization (NPI-2)
Legal business name
A. Tariq Malik, MD, INC.
Organization subpart
No
Enumeration date
Jul 19, 2005
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology–MAYes

Practice location

250 Green St
Ste 212
Gardner, MA 01440-1396

Phone 978-632-7530 · Fax 978-632-0516

Mailing address

340 Main St
Ste. 670
Worcester, MA 01608-1604

Phone 508-754-3566 · Fax 508-798-8012

Authorized official

A. Tariq Malik
President
9786327530

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