Individual
DR. RAJ AHSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-0100
Mailing address
2015 W MAIN ST STE 100, STAMFORD, CT 06902-4536
(203) 863-3483
(203) 863-3495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
263739
NY
2083X0100X
Occupational Medicine Physician
Primary
054311
CT
Other
Enumeration date
04/05/2010
Last updated
11/29/2017
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