Individual
AIESHA AZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2435 W BELVEDERE AVE STE 35, BALTIMORE, MD 21215-5224
(410) 601-0900
(410) 601-0901
Mailing address
305 MEMORIAL MEDICAL PARKWAY SUITE 308, DAYTONA BEACH, FL 32117-5137
(570) 972-8174
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
017923
NY
363AS0400X
Surgical Physician Assistant
Primary
C07103
MD
363AS0400X
Surgical Physician Assistant
PA9110354
FL
Other
Enumeration date
09/12/2014
Last updated
02/21/2020
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