MEDICARE: DR. AZEM DUSHAJ MD

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	207R00000X	Internal Medicine Physician	65007	CT

General Provider Information

NPI Number	:	1295094480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AZEM DUSHAJ MD

Provider Business Mailing Address
First Line	:	888 WHITE PLAINS RD STE 203
Second Line	:
City	:	TRUMBULL
State	:	CT
Zip	:	06611-4552
Country	:	US
Telephone Number	:	203-459-0408
Fax Number	:	203-459-0494

Provider Business Practice Location Address
First Line	:	888 WHITE PLAINS RD STE 203
Second Line	:
City	:	TRUMBULL
State	:	CT
Zip	:	06611-4552
Country	:	US
Telephone Number	:	203-459-0408
Fax Number	:	203-459-0494

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

Provider Enumeration Date	:	05/09/2012
Last Update Date	:	12/01/2025

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