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NPI Code Detail

MEDICARE: DR. JULIAN IOSBAKER AZZOUZI PHARMD

MEDICARE: DR. JULIAN IOSBAKER AZZOUZI PHARMD
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
11835I0206XInfectious Diseases Pharmacist072428NY
2183500000XPharmacist072428NY

General Provider Information

NPI Number : 1003604927
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIAN IOSBAKER AZZOUZI PHARMD
Provider Business Mailing Address
First Line : 656 HENRY ST APT 3L
Second Line :
City : BROOKLYN
State : NY
Zip : 11231-2639
Country : US
Telephone Number : 651-431-8719
Fax Number :
Provider Business Practice Location Address
First Line : 75 DEKALB AVE # LB20
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-5423
Country : US
Telephone Number : 651-431-8719
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2025
Last Update Date : 04/29/2025

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