Individual
MARIA AZIZIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 TEATICKET HWY, BUILDING #3, TEATICKET, MA 02536-5678
(508) 444-6989
(508) 388-7075
Mailing address
100 TEATICKET HWY, BUILDING #3, TEATICKET, MA 02536-5678
(508) 444-6989
(508) 388-7075
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
13526
NH
208600000X
Surgery Physician
Primary
251913
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110095392A
—
MA
05
—
30207098
—
NH
01
—
P00921047
RAILROAD MEDICARE
NH
Enumeration date
03/23/2007
Last updated
03/18/2015
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