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Organization

PHYSICAL MEDICINE & REHABILITATION ASSOCIATES OF EAST ALABAMA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FREDERICK MANSUR AZIZ MD (PRESIDENT)
(718) 216-8283
Entity
Organization

Contact information

Practice address
267 FOB JAMES DR, VALLEY, AL 36854-5077
(718) 216-8283
Mailing address
716 BANBURY ST, AUBURN, AL 36832-3677
(718) 216-8283

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35113
AL
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
35113
AL

Other

Enumeration date
08/17/2018
Last updated
08/17/2018
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