Organization
ADVANCED LAPAROSCOPIC BARIATRIC AND GENERAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIF AHMAD MD (MEDICAL DOCTOR)
(631) 689-0220
Entity
Organization
Contact information
Practice address
625 BELLE TERRE RD, SUITE 202, PORT JEFFERSON, NY 11777-2316
(631) 689-0220
Mailing address
625 BELLE TERRE RD, SUITE 202, PORT JEFFERSON, NY 11777-2316
(631) 689-0220
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2496301
NY
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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