Individual
AQSA MAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
471 CENTER ST, LUDLOW, MA 01056-2733
(413) 625-3500
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 410-6700
(603) 319-8308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA100675
MA
Other
Enumeration date
07/08/2024
Last updated
02/10/2025
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