Individual
PROF. BIAGIO AZZARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6476 DAWSON LAKE DR, INDIANAPOLIS, IN 46220-7111
(317) 840-3729
Mailing address
6476 DAWSON LAKE DR, INDIANAPOLIS, IN 46220-7111
(317) 840-3729
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
01029346A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01029346A
PHYSICIAN LICENSE
IN
Enumeration date
01/21/2012
Last updated
01/21/2012
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