A. Tariq Malik, MD, Inc.
Organization Active NPI Gastroenterology Physician · Gardner, MA
NPI 1477552750 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1477552750
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- Legal business name
- A. TARIQ MALIK, MD, INC.
- Practice address
- 250 Green St
Ste 212
Gardner, MA 01440-1396 - Phone
- (978) 632-7530
- Fax
- (978) 632-0516
- NPI assigned
- Jul 19, 2005
- Organization subpart
- No
Authorized official
- Name
- A. Tariq Malik, M.D.
- Title
- President
- Phone
- (978) 632-7530
Practitioners 1
-
Ayaz Tariq Malik, M.D.
National Provider Directory
Locations
250 Green St
Ste 206
Gardner, MA 01440
Phone (978) 632-7530
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician |
207RG0100X | MA | Yes |
Addresses
Primary practice location
250 Green St
Ste 212
Gardner, MA 01440-1396
Mailing address
340 Main St
Ste. 670
Worcester, MA 01608-1604
Phone (508) 754-3566
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9707093 | Medicaid | MA |
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All providers in Gardner, MA · Gastroenterology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.