Individual
DR. BRIAN JOSEPH MALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
(203) 937-3884
Mailing address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
(203) 937-3884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
046210
CT
207RC0000X
Cardiovascular Disease Physician
Primary
046210
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245289610
WEST HAVEN VAMC
CT
Enumeration date
02/28/2008
Last updated
01/14/2015
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