Organization · NPI-2
Awais Malik MD Family Medicine, LLC
Family Medicine · Milford, CT
NPI number1881939858
StatusActive
Last updated in NPPESDec 3, 2012
Details
- NPI
- 1881939858
- Entity type
- Organization (NPI-2)
- Legal business name
- Awais Malik MD Family Medicine, LLC
- Organization subpart
- No
- Enumeration date
- Dec 3, 2012
- Last updated
- Dec 3, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 049851 | CT | Yes |
Practice location
470 Bridgeport Ave # JMilford, CT 06460-4167
Phone 203-693-3676 · Fax 203-876-9334
Mailing address
470 Bridgeport Ave # JMilford, CT 06460-4167
Phone 203-693-3676 · Fax 203-876-9334
Authorized official
Awais Malik
Managing Physician
2036933676
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