Individual
JACK AJMERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4723 N TOMNITZ PL, TUCSON, AZ 85750-7403
(520) 465-7415
Mailing address
4723 N TOMNITZ PL, TUCSON, AZ 85750-7403
(520) 465-7415
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0157190A
IN
207R00000X
Internal Medicine Physician
102590 TEMP PERMIT
MN
207R00000X
Internal Medicine Physician
Primary
31832
AZ
207R00000X
Internal Medicine Physician
48811
MN
Other
Enumeration date
04/21/2006
Last updated
11/10/2010
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