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Rami Azzam

Student in an Organized Health Care Education/Training Program in Southampton, NY. Individual provider (NPI-1).

NPI number1013760123
StatusActive
Last updated in NPPESApr 9, 2024

Details

NPI
1013760123
Entity type
Individual (NPI-1)
Name
Rami Azzam
Sex
Male
Sole proprietor
No
Enumeration date
Apr 9, 2024
Certification date
Apr 9, 2024
Last updated
Apr 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

240 Meeting House Ln
Southampton, NY 11968-5009

Phone 631-726-0409

Mailing address

240 Meeting House Ln
Southampton, NY 11968-5009

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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