Individual
DR. FARYAL AZAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
1 WASHINGTON ST, WELLESLEY, MA 02481-1711
(781) 263-7360
(781) 263-7360
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(866) 795-4020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00721400
NJ
152W00000X
Optometrist
Primary
5452
MA
152W00000X
Optometrist
TPOP63
FL
152WC0802X
Corneal and Contact Management Optometrist
OEG002637
PA
Other
Enumeration date
08/08/2012
Last updated
01/09/2024
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