Individual
PAUL AZIMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3640 MAIN ST STE 102, SPRINGFIELD, MA 01107-1139
(413) 224-6420
Mailing address
2110 SILAS DEANE HWY, ROCKY HILL, CT 06067-2353
(860) 258-3480
(860) 571-6800
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
223908
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2107961
—
MA
Enumeration date
05/28/2006
Last updated
11/30/2021
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