Individual
DR. AMY MARIE AHASIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
789 HOWARD AVE, WINCHESTER CHEST CLINIC, NEW HAVEN, CT 06519-1304
(203) 785-4198
(203) 737-5453
Mailing address
789 HOWARD AVE, WINCHESTER CHEST CLINIC, NEW HAVEN, CT 06519-1304
(203) 785-4198
(203) 737-5453
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
222401
MA
207R00000X
Internal Medicine Physician
41354
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
222401
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
41354
CT
207RP1001X
Pulmonary Disease Physician
222401
MA
207RP1001X
Pulmonary Disease Physician
Primary
41354
CT
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
222401
MA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
41354
CT
Other
Enumeration date
09/15/2006
Last updated
10/06/2010
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