Individual
MR. GREGORY S AZIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
399 OCEAN AVE, NEW LONDON, CT 06320-4717
(860) 443-3202
(860) 443-7350
Mailing address
399 OCEAN AVE, NEW LONDON, CT 06320-4717
(860) 443-3202
(860) 443-7350
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
032446
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001324467
—
CT
Enumeration date
02/01/2007
Last updated
02/05/2019
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