IndividualActive
Mallick Alam, MD
NPI 1467529271 · General Practice Physician · New Haven, CT
Provider details
- NPI number
- 1467529271
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 034112 (CT)
Practice location
77 Grand Ave
New Haven, CT 06513-3906
Phone: (203) 562-8697
Fax: (203) 562-1822
Mailing address
77 Grand Ave
New Haven, CT 06513-3906
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.