Basic Information
| Provider Information | |||||||||
| NPI: | 1356752588 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AUH | ||||||||
| FirstName: | DAVID | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 120 HOBART ST | ||||||||
| Address2: | RESIDENCY PROGRAM | ||||||||
| City: | UTICA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 135014308 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3157981149 | ||||||||
| FaxNumber: | 3157343565 | ||||||||
| Practice Location | |||||||||
| Address1: | 1221 MERCANTILE LN | ||||||||
| Address2: | |||||||||
| City: | UPPER MARLBORO | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207745374 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3016185500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/09/2014 | ||||||||
| LastUpdateDate: | 06/11/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | D83108 | MD | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.