Provider Demographics
NPI:1790873065
Name:TEWARI, ASHUTOSH (MD)
Entity Type:Individual
Prefix:
First Name:ASHUTOSH
Middle Name:
Last Name:TEWARI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:150 EAST 42ND STREET
Mailing Address - Street 2:10TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017
Mailing Address - Country:US
Mailing Address - Phone:646-605-8119
Mailing Address - Fax:646-605-3031
Practice Address - Street 1:525 E 68TH ST - STARR 900
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-746-5878
Practice Address - Fax:212-746-8153
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2016-05-13
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Provider Licenses
StateLicense IDTaxonomies
NY233674208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology