Individual
ADITI MALLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 N WOLFE ST, NELSON 215, BALTIMORE, MD 21287-0005
(443) 287-3631
(410) 502-0923
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D81835
MD
207R00000X
Internal Medicine Physician
L-255668
MA
Other
Enumeration date
06/27/2013
Last updated
09/02/2016
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