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Chowdhury Azam

Psychologist in Summit, NJ. Individual provider (NPI-1).

NPI number1922053792
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1922053792
Entity type
Individual (NPI-1)
Name
Chowdhury Azam
Sex
Male
Sole proprietor
No
Enumeration date
May 23, 2006
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X PsychologistMA63822NJYes

Practice location

19 Prospect St
Summit, NJ 07901-2530

Phone 330-758-4515 · Fax 330-758-5121

Mailing address

19 Prospect St
Summit, NJ 07901-2530

Phone 330-758-4515 · Fax 330-758-5121

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