Mallick, Adnan M.

Mallick, Adnan M. is an individual health care provider with primary practice located at 1255 Broad St Ste 104 , Bloomfield NJ 07003-3061. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Mallick, Adnan M. can be contacted via phone (973) 707-5632.

Contact Information

Primary practice address
1255 Broad St Ste 104 Bloomfield NJ 07003-3061
Phone: (973) 707-5632
Fax: (973) 707-7349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 277002 New York
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 25MA10886200 New Jersey
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25MA10886200 New Jersey

Profile Details

NPI number 1437597366
LBN Legal business name Mallick, Adnan M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2013
Last updated Mar 22nd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437597366 NPPES
Ohio MEDICAID 0230917

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