Individual
ERIC AHLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010
(202) 877-7000
Mailing address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301108169
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD046464
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/11/2015
Last updated
10/22/2018
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