Azim, Mariam

Azim, Mariam is an individual health care provider with primary practice located at 6595C Roosevelt Blvd , Philadelphia PA 19149-2918. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Azim, Mariam can be contacted via phone (743) 215-3700.

Contact Information

Primary practice address
6595C Roosevelt Blvd Philadelphia PA 19149-2918
Phone: (743) 215-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22DI02850800 New Jersey
Dental Providers / Pediatric Dentistry 1223P0221X 07120 New Jersey

Profile Details

NPI number 1578184024
LBN Legal business name Azim, Mariam
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2020
Last updated Jul 6th, 2023 - about 2 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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