Individual
NISHA MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
73 S BATH AVE, LONG BRANCH, NJ 07740-5725
(732) 870-3600
(732) 870-0119
Mailing address
PO BOX 8000, DEPT 596, BUFFALO, NY 14267-0002
(866) 295-0041
(708) 342-2517
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
25MA05731000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6186904
—
NJ
Enumeration date
03/02/2006
Last updated
10/14/2011
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