| NPI | 1285837401 |
|---|---|
| Other Name | NEW HAVEN WALK IN MEDICAL CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | MALLICK QAISER ALAM Physician In Charge 203-562-8697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 034112) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 034112) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |