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General NPI Number Information
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NPI Number | 1144263302
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Entity Type | Organization
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Legal Business Name | ATIF B MALIK MD PC
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 40 MONMOUTH RD
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City | OAKHURST
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State | NJ
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Zip | 07755-1654
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Country | US
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Telephone | 732-626-0747
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Fax |
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Provider Business Mailing Address
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Address Line | 518-7 OLD POST ROAD SUITE 115
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City | EDISON
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State | NJ
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Zip | 08817
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Country | US
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Telephone | 732-626-0747
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ATIF BABAR MALIK
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Credential | M.D.
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Telephone | 732-626-0747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | D0060663
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 0101237904
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | A84906
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 213-450
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 25MA08033200
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License Number State | NJ
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