Faryal Azam, O.D Valid NPI
Individual provider · Optometrist · Wellesley, MA
- NPI
- 1538416698
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 5452 (MA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2012-08-08
- Last updated
- 2024-01-09
Practice location
1 Washington St
Wellesley, MA 02481-1711
(781) 263-7360