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Individual

MR. MIN SHICK AHN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
67 BELMONT ST, STE 103, WORCESTER, MA 01605-2657
(508) 755-8623
(508) 752-5231
Mailing address
67 BELMONT ST, STE 103, WORCESTER, MA 01605-2657
(508) 755-8623
(508) 752-5231

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
210134
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0141313
MA
Enumeration date
09/16/2005
Last updated
07/08/2007
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