Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | DN1857236 | MA |
NPI | 1003229543 |
---|---|
Provider Name | Dr. Fatima Pirzada Aziz |
First Address | Cambridge, MA 02140-1527 |
Second Address | Cambridge, MA 02140 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2014 |
Last Update Date | 13/06/2016 |