MEDICARE: PARVAIZ MALIK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	25MA04716800	NJ

General Provider Information

NPI Number	:	1871537944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARVAIZ MALIK MD

Provider Business Mailing Address
First Line	:	1542 KUSER RD
Second Line	:	SUITE B-2
City	:	HAMILTON
State	:	NJ
Zip	:	08619-3829
Country	:	US
Telephone Number	:	609-585-0044
Fax Number	:	609-585-5977

Provider Business Practice Location Address
First Line	:	1542 KUSER RD
Second Line	:	SUITE B-2
City	:	HAMILTON
State	:	NJ
Zip	:	08619-3829
Country	:	US
Telephone Number	:	609-585-0044
Fax Number	:	609-585-5977

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	10/10/2022

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