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Contact Information

WAEL ELMALLAH, MD, MSC, PHD
1 LAKE ST
SUITE 204
NEW BRITAIN, CT06052-1396
 Phone: 860-223-0220
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Adult Congenital Heart Disease

207RA0002X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for WAEL ELMALLAH · (Male)

NPI # 1487861712
Status Active
Credentials MD, MSC, PHD
Entity Individual
Enumeration date 05/17/2007
Last updated 02/02/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 55451
  • OH License # 35. 091561
  • CT Medicaid D400332473
Hospital affiliation(s)
  • HARTFORD HOSPITAL - (Acute Care)
    80 SEYMOUR STREET
    HARTFORD, CT 06102
  • HOSPITAL OF CENTRAL CONNECTICUT THE - (Acute Care)
    100 GRAND STREET
    NEW BRITAIN, CT 06050
  • JOHN DEMPSEY HOSPITAL - (Acute Care)
    263 FARMINGTON AVE
    FARMINGTON, CT 06032
  • ST FRANCIS HOSPITAL & MEDICAL CENTER - (Acute Care)
    114 WOODLAND STREET
    HARTFORD, CT 06105
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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