Ali, Azra J

Ali, Azra J is an individual health care provider with primary practice located at 89 Foster St , Peabody MA 01960-8925. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ali, Azra J can be contacted via phone (978) 532-4903.

Contact Information

Primary practice address
89 Foster St Peabody MA 01960-8925
Phone: (978) 532-4903
Fax: (978) 532-4995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 153455 Massachusetts

Profile Details

NPI number 1255370243
LBN Legal business name Ali, Azra J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Mar 7th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255370243 NPPES
Massachusetts Other 153455 TUFTS
Massachusetts Other J19702 TUFTS
Massachusetts Other 710534 TUFTS
Massachusetts MEDICAID 1320912 TUFTS

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