Individual
DR. JEROME MORRIS AZIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S,
Contact information
Practice address
5 FALCON CRST, SOUTHWICK, MA 01077-9346
(413) 265-1673
Mailing address
5 FALCON CRST, SOUTHWICK, MA 01077-9346
(413) 265-1673
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12383
MA
Other
Enumeration date
07/26/2006
Last updated
10/20/2019
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