Organization
HERMAN AYVAZYAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERMAN AYVAZYAN MD (DOCTOR)
(401) 434-6464
Entity
Organization
Contact information
Practice address
450 VETERANS MEMORIAL PKWY # 12, EAST PROVIDENCE, RI 02914-5300
(401) 434-6464
(401) 438-1890
Mailing address
450 VETERANS MEMORIAL PKWY # 12, EAST PROVIDENCE, RI 02914-5300
(401) 434-6464
(401) 438-1890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7061
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9001194
—
RI
Enumeration date
05/22/2008
Last updated
05/16/2011
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