Provider Demographics
NPI:1538247671
Name:AZZI, GEORGES M (MD)
Entity type:Individual
Prefix:
First Name:GEORGES
Middle Name:M
Last Name:AZZI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 SUGAR LN
Mailing Address - Street 2:
Mailing Address - City:NORTH BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01862-2851
Mailing Address - Country:US
Mailing Address - Phone:961-355-3321
Mailing Address - Fax:
Practice Address - Street 1:SAINT JOSEPH HOSPITAL
Practice Address - Street 2:
Practice Address - City:DORA BEIRUT
Practice Address - State:LB
Practice Address - Zip Code:14621
Practice Address - Country:LB
Practice Address - Phone:961-355-3321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA159114207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine