Individual
DR. DIPAK K MALLIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
546 ST GEORGES AVE, RAHWAY, NJ 07065
(732) 381-3642
(732) 396-4463
Mailing address
546 ST GEORGES AVE, RAHWAY, NJ 07065
(732) 381-3642
(732) 396-4463
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
MA29179
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2503000
—
NJ
Enumeration date
10/18/2006
Last updated
07/08/2007
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