Individual
MR. AZAT FARYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
36 STAM AVE, CRANSTON, RI 02920-4439
(401) 463-6652
Mailing address
12 OAKLAND AVE APT 2, CRANSTON, RI 02910-4548
(401) 525-0211
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/01/2008
Last updated
08/02/2008
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