Individual
PHILIP J AYVAZIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33 KENDALL ST, WORCESTER, MA 01605-2726
(508) 334-8765
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
74112
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110050784A
—
MA
05
—
3087255
—
MA
05
—
31175338
—
MA
Enumeration date
07/26/2005
Last updated
03/05/2026
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