Individual
AHMAD ALTAJAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6355 BROADWAY, BRONX, NY 10471-2701
(718) 549-3300
Mailing address
190 SCOFIELD AVE # 2, BRIDGEPORT, CT 06605-2925
(203) 522-9010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P141366
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
03/23/2026
Last updated
04/20/2026
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