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NPI Code Detail

MEDICARE: CAROLINA AZIZ DO

MEDICARE:   CAROLINA  AZIZ  DO
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 PhysicianOS014452PA

General Provider Information

NPI Number : 1205048667
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINA AZIZ DO
Provider Business Mailing Address
First Line : 1407 RHAWN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19111-2803
Country : US
Telephone Number : 215-725-3619
Fax Number : 215-722-6504
Provider Business Practice Location Address
First Line : 1407 RHAWN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19111-2803
Country : US
Telephone Number : 215-725-3619
Fax Number : 215-722-6504
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2007
Last Update Date : 11/20/2009

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Directions to “ CAROLINA AZIZ DO” Practice Location

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