Individual
MS. TARA AZIZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3701 MARKET ST FL 6, PHILADELPHIA, PA 19104-5508
(215) 662-2250
(215) 615-3995
Mailing address
3701 MARKET ST, 6TH FL, PHILADELPHIA, PA 19104-5508
(215) 662-2250
(215) 615-3995
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP016925
PA
Other
Enumeration date
10/20/2016
Last updated
10/19/2022
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