Individual
AMNA AZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
320 POMFRET ST, PUTNAM, CT 06260
(860) 928-6541
(860) 963-6450
Mailing address
320 POMFRET ST, PUTNAM, CT 06260-1836
(609) 928-6541
(860) 963-6450
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
63516
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2015
Last updated
06/26/2019
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