Organization
DOUGLAS AHN, M.D., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS AHN M.D. (PRESIDENT)
(315) 738-7883
Entity
Organization
Contact information
Practice address
122 BUSINESS PARK DR, SUITE 1, UTICA, NY 13502-6321
(315) 738-7883
(315) 738-0347
Mailing address
122 BUSINESS PARK DR, SUITE 1, UTICA, NY 13502-6321
(315) 738-7883
(315) 738-0347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
229831
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02614184
—
NY
Enumeration date
08/14/2007
Last updated
09/26/2012
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