Individual
SAYED AUSIM AZIZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-3040
(215) 707-8235
Mailing address
2450 W. HUNTING PARK AVENUE, 3RD FLOOR, PHILADELPHIA, PA 19129
(215) 707-8561
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD053664L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014788880081
—
PA
Enumeration date
10/12/2005
Last updated
04/24/2020
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