Organization
YOUR HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUNAWAR AZAM MD (OWNER)
(401) 398-2656
Entity
Organization
Contact information
Practice address
1407 S COUNTY TRL, UNIT 422, EAST GREENWICH, RI 02818-1652
(401) 398-2656
Mailing address
8 MACERA CIR, WARWICK, RI 02886-8593
(401) 398-2656
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD09436
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2040325
NEIGHBORHOOD HEALTH PLAN OF RI
RI
Enumeration date
06/03/2014
Last updated
07/17/2014
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