Individual
ALEXANDER AZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(954) 632-4673
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
317412
NY
Other
Enumeration date
03/27/2019
Last updated
08/02/2022
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