Individual
DR. AHMED AZIZ CHAUDHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7450
Mailing address
PO BOX 1962, BRATTLEBORO, VT 05302-1962
(860) 972-2803
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
66738
CT
2085R0001X
Radiation Oncology Physician
MD15012
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110105605A
—
MA
05
—
AC12051
—
RI
Enumeration date
10/06/2010
Last updated
11/09/2020
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