Douglas Ahn, M.d., P.l.l.c.

NPI #1104018191 in Utica, New York

Provider Information

NPI Number: 1104018191
Entity Type: Organization
Organization Name: Douglas Ahn, M.d., P.l.l.c.
Primary Specialty: Family Medicine
Enumeration Date: Aug 14, 2007
Last Updated: Sep 26, 2012

Practice Location

Address: 122 BUSINESS PARK DR
Address 2: SUITE 1
City: Utica
State: New York
ZIP Code: 13502-6321
Phone: (315) 738-7883

Authorized Official

Name: DR. DOUGLAS AHN, M.D.
Title: PRESIDENT
Phone: (315) 738-7883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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