MEDICARE: NEW HAVEN WALK IN MEDICAL CENTER

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	261QP2000X	Physical Therapy Clinic/Center	034112	CT
2	208000000X	Pediatrics Physician	034112	CT

General Provider Information

NPI Number	:	1285837401
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HAVEN WALK IN MEDICAL CENTER

Provider Business Mailing Address
First Line	:	77 GRAND AVE
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06513-3906
Country	:	US
Telephone Number	:	203-562-8697
Fax Number	:	203-562-1822

Provider Business Practice Location Address
First Line	:	77 GRAND AVE
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06513-3906
Country	:	US
Telephone Number	:	203-562-8697
Fax Number	:	203-562-1822

Authorized Official
Title or Position	:	PHYSICIAN IN CHARGE
Name	:	MALLICK QAISER ALAM
Credential	:
Telephone Number	:	203-562-8697

Provider Enumeration Date	:	06/06/2007
Last Update Date	:	09/11/2025

Similar Medicare Providers

1467529271 — MALLICK QAISER ALAM MD
Practice Location Address:

77 GRAND AVE
NEW HAVEN, CT
06513-3906

Practice Phone: 203-562-8697
Practice Fax: 203-562-1822

1851188551 — YOLANDER WEST
Practice Location Address:

1157 1ST ST S
WINTER HAVEN, FL
33880-3906

Practice Phone: 863-808-7537
Practice Fax:

1548236045 — DR. CHARLES C TRUNCALE D.M.D.
Practice Location Address:

USCG ACADEMY, MICHEL HALL , 15 MOHEGAN AVENUE
NEW LONDON, CT
06030-3906

Practice Phone: 860-444-8402
Practice Fax:

1205890332 — HUMAN SERVICES CENTER
Practice Location Address:

130 WEST NORTH STREET
NEW CASTLE, PA
16101-3906

Practice Phone: 724-658-3578
Practice Fax: 724-656-1325

1437203833 — DR. RONALD KEVIN COLLINS DC DR CHIROPRACTIC
Practice Location Address:

3906 GENERAL DEGAULLE DRIVE
NEW ORLEANS, LA
70114

Practice Phone: 504-362-6000
Practice Fax: 504-362-6010

1427184951 — DEGAULLE CHIROPRACTIC CLINIC INC
Practice Location Address:

3906 GENERAL DEGAULLE DRIVE
NEW ORLEANS, LA
70114

Practice Phone: 504-362-6000
Practice Fax: 504-362-6010

Directions to “NEW HAVEN WALK IN MEDICAL CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.