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1245082296
AHAMED LAZIM VATTOTH
MADISON, WI
NPI
1245082296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WI 100771-851)
Enumeration Date
2024-04-03
Last Update Date
2024-06-23
Business Address
AHAMED LAZIM VATTOTH
600 HIGHLAND AVE
MADISON, WI 53792-1465
Phone number: 608-263-6400
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Mailing Address
AHAMED LAZIM VATTOTH
600 HIGHLAND AVE
MADISON, WI 53792-0001
Phone number: 608-263-6400
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