Individual
AYAZ TARIQ MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 GREEN ST, STE 212, GARDNER, MA 01440-1396
(978) 669-5522
(978) 632-0516
Mailing address
250 GREEN ST, STE 212, GARDNER, MA 01440-1396
(978) 669-5522
(978) 632-0516
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
33591
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154695
—
MA
Enumeration date
07/14/2005
Last updated
08/25/2011
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