Individual
DR. GREGORY AZZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-4200
Mailing address
1475 NW 12TH AVE, 1500, MIAMI, FL 33136-1002
(305) 243-4200
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME145753
FL
Other
Enumeration date
05/13/2015
Last updated
03/01/2022
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