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Individual

AZIZ A. ASHIROV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
395 PORTER LAKE DR, 201, LONGMEADOW, MA 01106-1265
(407) 408-6716
Mailing address
395 PORTER LAKE DR, 201, LONGMEADOW, MA 01106-1265
(407) 408-6716

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
132882
CT
163W00000X
Registered Nurse
RN2300423
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
6492
CT
367500000X
Certified Registered Nurse Anesthetist
RN2300423
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110122909A
MA
Enumeration date
03/09/2015
Last updated
07/17/2023
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