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DR. ADNAN M DAHDUL MD

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1104802362

Individual Registrant:
DR. ADNAN M DAHDUL MD
Gender: M

Location and contact information for practice:
14 CHESTNUT PL INNOVATIVE PHYSICIAN SERVICES LLC LUDLOW, MA 01056-3476 US
Tel: 413-589-7581  Fax: 413-547-2738

Contact information for business:
PO BOX 391 INNOVATIVE PHYSICIAN SERVICES LLC WILBRAHAM, MA 01095-0391 US
Tel: 508-595-0531  Fax: 508-829-5367

Registration Information:
NPI: 1104802362
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
MA53136

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
3001105MA05




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