Individual
JULIET CHIKAODILI AZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 HOSPITAL DRIVE: INPATIENT TEAM, BALTIMORE WASHINGTON MEDICAL CENTER, GLEN BURNIE, MD 21061
(410) 787-4000
Mailing address
PO BOX 512650, PHILADELPHIA, PA 19175-2650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0074358
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KS04
MEDICARE GROUP
MD
Enumeration date
07/31/2012
Last updated
07/31/2012
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