MEDICARE: AZIZI CARLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YS0200X	School Counselor

General Provider Information

NPI Number	:	1386767929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AZIZI CARLE

Provider Business Mailing Address
First Line	:	211 W SELDEN ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02126-2377
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 W SELDEN ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02126-2377
Country	:	US
Telephone Number	:	617-298-8588
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	07/08/2007

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Directions to “ AZIZI CARLE ” Practice Location

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