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1306280094
AYESHA MALLICK IMAM
SPRINGFIELD, OH
NPI
1306280094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OH 35.144361)
Enumeration Date
2013-04-24
Last Update Date
2022-11-02
Business Address
AYESHA MALLICK IMAM M.D.
100 MEDICAL CENTER DR
SPRINGFIELD, OH 45504-2687
Phone number: 937-523-4147
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Mailing Address
AYESHA MALLICK IMAM M.D.
150 BERGEN STREET, SUITE E-401
NEWARK,, NJ 07101-1709
Phone number:
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