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Contact Information

FARYAL AZAM, O.D
1 WASHINGTON ST
WELLESLEY, MA02481-1711
 Phone: 781-263-7360
 Fax: 781-263-7360
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for FARYAL AZAM · (Female)

NPI Number 1538416698
Status Active
Credentials O.D
Entity Individual
Enumeration date 08/08/2012
Last updated 01/09/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # TPOP63
  • MA License # 5452
  • NJ License # 27OA00721400
  • PA License # OEG002637
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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