Individual
AJIT S DAMLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
737 BROADWAY, FARGO, ND 58122-0001
(701) 234-2576
(701) 234-3769
Mailing address
737 BROADWAY, FARGO, ND 58122-0001
(701) 234-2576
(701) 234-3769
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
5835
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16266
—
ND
05
—
288297300
—
MN
Enumeration date
07/16/2006
Last updated
10/20/2008
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