Individual
SHRUTIE MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-6414
(908) 598-2337
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA09945100
NJ
207R00000X
Internal Medicine Physician
53622
CT
208M00000X
Hospitalist Physician
Primary
25MA09945100
NJ
208M00000X
Hospitalist Physician
53622
CT
Other
Enumeration date
10/27/2014
Last updated
10/21/2021
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