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Individual

MD ATICUL ISLAM

Active
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Individual

MD ATICUL ISLAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
244927
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02974821
NY
Enumeration date
07/06/2007
Last updated
11/18/2009
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