Individual
HESHAM HAFEEZ MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-7237
(774) 441-8443
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
240922
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110089520A
—
MA
Enumeration date
04/20/2007
Last updated
06/07/2021
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