Ahmad Fotovat, MD

NPI #1740234178 in Trumbull, Connecticut

Provider Information

NPI Number: 1740234178
Entity Type: Individual
Name: Ahmad Fotovat, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: MD
Enumeration Date: May 20, 2006
Last Updated: Oct 10, 2007

Practice Location

Address: 115 TECHNOLOGY DR
Address 2: C-100
City: Trumbull
State: Connecticut
ZIP Code: 06611-1395
Phone: (203) 268-5212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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