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Individual

DR. JASPAL AHLUWALIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
COMDT, USCG HQ (CG-1122), US COAST GUARD STOP 7907, MARTIN LUTHER KING JR AVENUE SE, WASHINGTON, DC 20598
(703) 872-6629
Mailing address
4200 WILSON BLVD, 950, ARLINGTON, VA 20598-7198
(703) 872-6629

Taxonomy

Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
01064841A
IN
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
01064841A
IN

Other

Enumeration date
01/26/2008
Last updated
08/15/2014
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