Individual
AYESHA AHSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1500 HIGHLANDS DR, LITITZ, PA 17543-7694
(717) 625-5000
Mailing address
2330 ROUTE 33, STE 107, ROBBINSVILLE, NJ 08691-1431
(609) 303-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB10891200
NJ
207Q00000X
Family Medicine Physician
OS019668
PA
Other
Enumeration date
05/26/2017
Last updated
08/11/2020
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