MR. GREGORY S AZIA


Address: 399 Ocean Ave, New London, CT 06320-4717
Phone: 8604433202

MR. GREGORY S AZIA (NPI# 1437297785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437297785
Entity Type Individual
Full Name MR. GREGORY S AZIA
Credential M.D.
Practice Address 399 Ocean Ave
New London
CT 06320-4717
Practice Telephone 8604433202
Practice Fax Number 8604437350
Mailing Telephone 8604433202
Mailing Fax Number 8604437350
Enumeration Date 2007-02-01
Last Update Date 2019-02-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204F00000X Transplant Surgery 032446 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT 001324467 05

Office Location

Street Address 399 OCEAN AVE
City NEW LONDON
State CT
Zip Code 06320-4717

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1043668320 Cultivate & Grow Inc. Counselor 302 State St Suite 307, New London, CT 06320 2016-05-27
1295137263 Jacqueline Durnell Registered Nurse 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 2014-09-22
1922427541 Corina Vendetto Registered Nurse 245 Shaw St., New London, CT 06320 2014-04-10
1912329962 Janelle Posey-green Social Worker 302 State St., Suite 201, New London, CT 06320 2014-01-10
1750622692 Cynthia Mitchell Social Worker 65b Michael Rd, New London, CT 06320 2013-03-01
1518254507 Simon J Shapiro Physical Medicine & Rehabilitation 190 Howard Avenue, New London, CT 06320 2011-06-29
1184876708 Jane P Genido-trujillo Nurse Practitioner 270 Mohegan Ave., Student Health Services, New London, CT 06320 2008-10-14
1932356284 Gerard Joseph Ventura Dentist 21 Montauk Ave., Suite 102, New London, CT 06320 2008-08-19
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Taxonomy Information

Taxonomy Code 204F00000X
Grouping Allopathic & Osteopathic Physicians
Classification Transplant Surgery

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407298821 Ramesh K Batra Transplant Surgery 330 Cedar St # 121, New Haven, CT 06510-3218 2013-07-26
1306996053 Manuel Ignacio Rodriguez-davalos Transplant Surgery 333 Cedar St # St121, Yale Univ Sch Med, Dept. Surg, New Haven, CT 06510-3206 2007-01-12
1821084211 Glyn Morgan Transplant Surgery 85 Seymour St Ste 320, Hartford, CT 06106-5522 2005-09-21
1023584216 Hartford Healthcare Medical Group Specialists LLC Transplant Surgery 85 Seymour St Ste 415, Hartford, CT 06106-5523 2018-10-16
1851521777 Caroline Rochon Transplant Surgery 85 Seymour Street, Suite 301, Hartford, CT 06106 2009-07-27
1326286477 Peter Steven Yoo Transplant Surgery 330 Cedar St, Fmb 121, New Haven, CT 06510-3218 2009-01-28
1437316254 Patricia A. Sheiner Transplant Surgery 85 Seymour St, Suite 301, Hartford, CT 06106-5501 2008-05-20
1003960626 Oscar Kenneth Serrano Transplant Surgery 85 Seymour St Ste 320, Hartford, CT 06106 2007-01-22
1851478457 Zeynep Ayse Ebcioglu Transplant Surgery 1 Liberty Sq, New Britain, CT 06051-2637 2006-11-01
1306898259 Brian D Shames Transplant Surgery 263 Farmington Ave, General Surgery, Farmington, CT 06030-6227 2006-05-17
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Competitor

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City NEW LONDON
Zip Code 06320

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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