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NPI Profile for ATIKAH B FATHOLRAZAK in NEW HAVEN, CT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
163WP0200X |
| NPI # | 1891561627 |
|
| Status | Active | |
| Credentials | RN BSN | |
| Entity | Individual | |
| Enumeration date | 12/01/2023 | |
| Last updated | 12/01/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ATIKAH B FATHOLRAZAK
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ATIKAH B FATHOLRAZAK, RN BSN