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1265063358
A S M TAZUL ISLAM
JAMAICA, NY
NPI
1265063358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 104094)
Enumeration Date
2020-01-28
Last Update Date
2020-01-28
Business Address
A S M TAZUL ISLAM MD
9131 175TH ST
JAMAICA, NY 11432-5517
Phone number: 718-657-6363
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Mailing Address
A S M TAZUL ISLAM MD
17810 WEXFORD TER APT 4R
JAMAICA, NY 11432-3014
Phone number: 347-820-5051
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