Azzoni, Michael O.

Azzoni, Michael O. is an sole proprietor health care provider with primary practice located at 250 Green St , Gardner MA 01440-1396. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Azzoni, Michael O. can be contacted via phone (978) 632-0383.

Contact Information

Primary practice address
250 Green St Gardner MA 01440-1396
Phone: (978) 632-0383
Fax: (978) 632-0714
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 151384 Massachusetts
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 151384 Massachusetts

Profile Details

NPI number 1689661035
LBN Legal business name Azzoni, Michael O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2005
Last updated Sep 24th, 2013 - about 11 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 1689661035 NPPES
Massachusetts MEDICAID 3170837

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