Azia, Gregory S
Azia, Gregory S is an sole proprietor health care provider with primary practice located at 399 Ocean Ave , New London CT 06320-4717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Azia, Gregory S can be contacted via phone (860) 443-3202.Contact Information
Primary practice address
399 Ocean Ave
New London CT 06320-4717
Phone: (860) 443-3202
Fax: (860) 443-7350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 032446 | Connecticut |
Profile Details
| NPI number | 1437297785 |
|---|---|
| LBN Legal business name | Azia, Gregory S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Feb 5th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437297785 | NPPES |
| Connecticut | MEDICAID | 001324467 |
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