Organization
FAMILY PHYSIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL AZIMOV MD (OWNER)
(413) 224-6420
Entity
Organization
Contact information
Practice address
3640 MAIN ST STE 204, SPRINGFIELD, MA 01107-1139
(413) 224-6420
(413) 224-6421
Mailing address
3640 MAIN ST STE 204, SPRINGFIELD, MA 01107-1139
(413) 224-6420
(413) 224-6421
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
12/22/2022
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