Individual
SANGITA K MALLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
95 PLEASANT ST, LYNN, MA 01901-1524
(781) 581-4400
(781) 592-0581
Mailing address
186 BEDFORD ST, LEXINGTON, MA 02420-4436
(781) 861-0890
(781) 861-0899
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
230754
MA
Other
Enumeration date
08/30/2006
Last updated
10/02/2007
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