Elmallah, Wael

Elmallah, Wael is an individual health care provider with primary practice located at 1 Lake St Suite 204, New Britain CT 06052-1396. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Elmallah, Wael can be contacted via phone (860) 223-0220.

Contact Information

Primary practice address
1 Lake St Suite 204 New Britain CT 06052-1396
Phone: (860) 223-0220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35. 091561 Ohio
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 55451 Connecticut
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35. 091561 Ohio
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 55451 Connecticut

Profile Details

NPI number 1487861712
LBN Legal business name Elmallah, Wael
Credentials MD, MSC, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Feb 2nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487861712 NPPES
Connecticut MEDICAID D400332473

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