Individual
DR. AWAIS MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
754 CLINTON AVE, BRIDGEPORT, CT 06604-2301
(203) 923-2204
(203) 923-2205
Mailing address
754 CLINTON AVE, BRIDGEPORT, CT 06604-2301
(203) 923-2204
(203) 923-2205
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
049851
CT
207QA0505X
Adult Medicine Physician
049851
CT
208D00000X
General Practice Physician
049851
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008059397
—
CT
Enumeration date
06/04/2008
Last updated
12/11/2020
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