Individual
AHAD A FAZELAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 RIVER RD, MANCHESTER, NH 03104-2423
(603) 663-2020
(603) 668-0881
Mailing address
250 RIVER RD, MANCHESTER, NH 03104-2423
(603) 663-2020
(603) 668-0881
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
15150
NH
207WX0107X
Retina Specialist (Ophthalmology) Physician
15150
NH
Other
Enumeration date
05/12/2009
Last updated
07/21/2017
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