Organization
CHARLES J. AZZAM M.D., P.C.
Active
Other names
Charles J. Azzam, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES J AZZAM M.D. (PRESIDENT)
(703) 551-4113
Entity
Organization
Contact information
Practice address
1916 OPITZ BLVD, WOODBRIDGE, VA 22191-3304
(703) 551-4113
(703) 491-1019
Mailing address
1916 OPITZ BLVD, WOODBRIDGE, VA 22191-3304
(703) 551-4113
(703) 491-1019
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101041648
VA
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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