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NPI Code Detail

MEDICARE: DR. JOSE D AZOCAR MD SCD

MEDICARE:  DR. JOSE D AZOCAR  MD SCD
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
1207R00000XInternal Medicine Physician50350MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578549499
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE D AZOCAR MD SCD
Provider Business Mailing Address
First Line : PO BOX 789
Second Line :
City : WILBRAHAM
State : MA
Zip : 01095-0789
Country : US
Telephone Number : 508-595-0531
Fax Number : 508-829-5367
Provider Business Practice Location Address
First Line : 1985 MAIN ST
Second Line :
City : SPRINGFIELD
State : MA
Zip : 01103-1095
Country : US
Telephone Number : 413-733-9955
Fax Number : 413-733-1199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 07/01/2009

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Directions to “ DR. JOSE D AZOCAR MD SCD” Practice Location

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