Individual
ABDUL RAZZAQUE AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
697 CAMBRIDGE ST, SUITE 302, BOSTON, MA 02135-2897
(617) 562-1040
(617) 562-1047
Mailing address
697 CAMBRIDGE ST, SUITE 302, BOSTON, MA 02135-2897
(617) 562-1040
(617) 562-1047
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
58320
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080243
AETNA US HEALTHCARE
—
01
—
0300099
UNITED HEALTHCARE
—
01
—
053820
TUFTS SECURE HORIZONS
—
01
—
26705
FALLON HEALTH PLAN
MA
01
—
38404
CIGNA HEALTHCARE
—
01
—
401193
HPHC
—
01
—
J08437
BCBS MA
—
Enumeration date
10/28/2005
Last updated
01/10/2012
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