MALLICK QAISER ALAM

NEW HAVEN, CT
NPI1467529271
Other NameQAISER MALLICK
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: CT  034112)
Enumeration Date2006-11-29
Last Update Date2007-07-08
Business Address
-- MALLICK QAISER ALAM MD
77 GRAND AVE
NEW HAVEN, CT 06513-3906
Phone number: 203-562-8697
Mailing Address
-- MALLICK QAISER ALAM MD
77 GRAND AVE
NEW HAVEN, CT 06513-3906
Phone number: 203-562-8697