Individual
DR. AHMED TARIQ BUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 THORNTON ST, SUITE 200, FREDERICKSBURG, VA 22401-4654
(540) 371-6810
(540) 371-9154
Mailing address
1300 THORNTON ST, SUITE 200, FREDERICKSBURG, VA 22401-4654
(540) 371-6810
(540) 371-9154
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101251523
VA
207R00000X
Internal Medicine Physician
0101251523
VA
Other
Enumeration date
05/25/2007
Last updated
05/01/2012
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