# DR. AMY MARIE AHASIC

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619073210
- **Gender:** F
- **Credential:** MD, MPH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 222401 | MA | — |
| 207R00000X | Internal Medicine Physician | 41354 | CT | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | 222401 | MA | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | 41354 | CT | — |
| 207RP1001X | Pulmonary Disease Physician | 222401 | MA | — |
| 207RP1001X | Pulmonary Disease Physician | 41354 | CT | Yes |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | 222401 | MA | — |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | 41354 | CT | — |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 10/06/2010
