Organization
NEW HAVEN WALK IN MEDICAL CENTER
Active
Other names
New Haven Walk In Medical Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MALLICK QAISER ALAM (PHYSICIAN IN CHARGE)
(203) 562-8697
Entity
Organization
Contact information
Practice address
77 GRAND AVE, NEW HAVEN, CT 06513-3906
(203) 562-8697
(203) 562-1822
Mailing address
77 GRAND AVE, NEW HAVEN, CT 06513-3906
(203) 562-8697
(203) 562-1822
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
034112
CT
261QP2000X
Physical Therapy Clinic/Center
034112
CT
Other
Enumeration date
06/06/2007
Last updated
09/11/2025
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