Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI # | 1801130596 |
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| LBN Legal business name | AHSEN ALI MD PSC | ||||
| Authorized official | MEGAN DANIELS - (PA) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/19/2012 | ||||
| Last updated | 11/19/2012 - About 14 years ago | ||||
| Identifiers |
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