Taj A Malik DPM

NPI 1972669752 - Podiatrist - 213E00000X

NPI Details
NPI 1972669752
Gender Male
Enumeration Date 12/28/2006
Last Updated 03/12/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
5 SEVERANCE CIRCLE
SUITE 701
CLEVELAND HEIGHTS OH, 44118-1590, US
Phone (216) 397-0999
Fax (216) 397-0983
Business Location
PO BOX 1864
CLEVELAND HEIGHTS OH, 44106-0064, US
Phone (216) 397-0999
Fax (216) 397-0983
Toxanomy
Taxonomy Code 213E00000X
License State Ohio
License Number 36002541M
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According to our database, Taj A Malik DPM NPI is 1972669752, taxonomy code is 213E00000X and license number is 36002541M, license state is located at Ohio. Taj A Malik DPM physically located at 5 Severance Circle, Cleveland Heights OH, 44118-1590. NPI Number Taj A Malik DPM has the Individual type.

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1972669752 NPI number is provided on an as is basis without warranty of any kind. 1972669752 is maintained by the National Plan & Provider Enumeration System. The contents of Taj A Malik DPM are for informational purposes only.