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Individual

DR. JAMAL J AHMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6700 KIRKVILLED RD, STE 203, EAST SYRACUSE, NY 13057-9313
(315) 277-2707
(315) 505-1665
Mailing address
6700 KIRKVILLED RD, SUITE 203, EAST SYRACUSE, NY 13057
(315) 277-2707
(315) 505-1665

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
255144
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
255144
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02838613
NY
Enumeration date
07/25/2006
Last updated
03/02/2020
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