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Individual

AHMAD M ATIYEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
325 PINE STREET, EASTON, PA 18042-4554
(610) 253-1460
(610) 253-1830
Mailing address
325 PINE STREET, EASTON, PA 18042-4554
(610) 253-1460
(610) 253-1830

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD055980L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016216800001
PA
Enumeration date
08/22/2005
Last updated
07/19/2013
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