MEDICARE: MOHAMMAD S. MALIK

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1952960148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMAD S. MALIK

Provider Business Mailing Address
First Line	:	220 HOPEWELL PRINCETON RD
Second Line	:
City	:	HOPEWELL
State	:	NJ
Zip	:	08525-2306
Country	:	US
Telephone Number	:	609-233-1443
Fax Number	:

Provider Business Practice Location Address
First Line	:	3501 NEWBERRY RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19154-2608
Country	:	US
Telephone Number	:	609-233-1443
Fax Number	:

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

Provider Enumeration Date	:	06/11/2019
Last Update Date	:	06/11/2019

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Directions to “ MOHAMMAD S. MALIK ” Practice Location

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