Individual
DR. MOHAMMAD AKHTARUZZAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6119 ST. HIGHWAY RT 11, CANTON, NY 13617-1450
(315) 714-3170
(315) 714-3174
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1799
(315) 714-3170
(315) 714-3174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
173523
NY
207KA0200X
Allergy Physician
2007032912
MO
Other
Enumeration date
01/24/2007
Last updated
11/30/2018
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