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Individual

DR. AMIR RAHEMTULLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
81 HIGHLAND AVE, SALEM HOSPITAL, SALEM, MA 01970-2714
(978) 354-4161
Mailing address
81 HIGHLAND AVE, SALEM HOSPITAL, SALEM, MA 01970-2714
(978) 354-4161

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
152016
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3166783
MA
Enumeration date
03/01/2006
Last updated
09/07/2007
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