# AWAIS MALIK MD FAMILY MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881939858
- **Authorized official:** AWAIS MALIK M.D. (MANAGING PHYSICIAN)
- **Authorized official phone:** (203) 693-3676

## Contact information

- **Practice address:** 470 BRIDGEPORT AVE \# J, MILFORD, CT 06460-4167
- **Practice address phone:** (203) 693-3676
- **Practice address fax:** (203) 876-9334
- **Mailing address:** 470 BRIDGEPORT AVE \# J, MILFORD, CT 06460-4167
- **Mailing address phone:** (203) 693-3676
- **Mailing address fax:** (203) 876-9334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 049851 | CT | Yes |

## Other

- **Enumeration date:** 12/03/2012
- **Last updated:** 12/03/2012