Individual
DR. AZADEH NAMAKYDOUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2100
Mailing address
480 RED HILL RD, MIDDLETOWN, NJ 07748-3052
(482) 256-1148
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
284104
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/20/2009
Last updated
04/28/2023
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