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1467529271
MALLICK QAISER ALAM
NEW HAVEN, CT
NPI
1467529271
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Other Name
QAISER MALLICK
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: CT 034112)
Enumeration Date
2006-11-29
Last Update Date
2007-07-08
Business Address
-- MALLICK QAISER ALAM MD
77 GRAND AVE
NEW HAVEN, CT 06513-3906
Phone number: 203-562-8697
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Mailing Address
-- MALLICK QAISER ALAM MD
77 GRAND AVE
NEW HAVEN, CT 06513-3906
Phone number: 203-562-8697
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