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Individual

TARIQ KAMAL MALIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 415-9500
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11687
RI

Other

Enumeration date
10/05/2006
Last updated
07/06/2015
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