Individual
JOEL W MALIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 BLACK ROCK TPKE, ORTHOPAEDIC SPECIALTY GROUP, FAIRFIELD, CT 06825-5508
(203) 337-2600
(203) 337-2666
Mailing address
305 BLACK ROCK TPKE, ORTHOPAEDIC SPECIALTY GROUP, FAIRFIELD, CT 06825-5508
(203) 337-2600
(203) 337-2666
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
035074
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001350743
—
CT
01
—
010035074CT04
ANTHEM BC/BS
CT
01
—
035074
CONNECTICARE
CT
01
—
2V4877
HEALTH NET
CT
01
—
3617683
AETNA
CT
01
—
578F1 (2) (3)
EMPIRE BC/BS
CT
01
—
6859884006
CIGNA
CT
01
—
TIN
PIONEER
—
01
—
ZS1017
OXFORD HEALTH PLANS
CT
Enumeration date
08/14/2006
Last updated
03/29/2017
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