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Individual

ASHUTOSH KAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19 BRADHURST AVE, HAWTHORNE, NY 10532-2140
(914) 347-0162
(914) 347-4401
Mailing address
19 BRADHURST AVE, STE 1700, HAWTHORNE, NY 10532-2139
(914) 347-0162
(914) 347-4401

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
217264
NY
2086S0102X
Surgical Critical Care Physician
217264
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02165144
NY
Enumeration date
08/15/2005
Last updated
12/06/2016
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