MUKUL MALLICK

FREDERICKSBURG, VA
NPI1386090561
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2016-05-06
Last Update Date2016-05-06
Business Address
Mr. MUKUL MALLICK PA-C
15 S GATEWAY DR STE 101
FREDERICKSBURG, VA 22406-1231
Phone number: 540-368-5603
Mailing Address
Mr. MUKUL MALLICK PA-C
2231 S ELKS LN UNIT 77
YUMA, AZ 85364-6269
Phone number: 480-330-8920
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