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NPI Code Detail

MEDICARE: DR. JAMIE AHN N.D.

MEDICARE: DR. JAMIE AHN N.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopath550CT

General Provider Information

NPI Number : 1285008177
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMIE AHN N.D.
Provider Business Mailing Address
First Line : 91 EAST AVE
Second Line : GARDEN SUITE
City : NORWALK
State : CT
Zip : 06851-5020
Country : US
Telephone Number : 203-450-6463
Fax Number : 203-900-8747
Provider Business Practice Location Address
First Line : 91 EAST AVE
Second Line : GARDEN SUITE
City : NORWALK
State : CT
Zip : 06851-5020
Country : US
Telephone Number : 203-450-6463
Fax Number : 203-900-8747
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2015
Last Update Date : 09/21/2016

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