Individual
DR. MARIAM AGLADZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-6400
Mailing address
825 FAIRFAX AVE STE 563, NORFOLK, VA 23507-1912
(757) 446-7065
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0101279837
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2019
Last updated
03/12/2024
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