Provider Demographics
NPI:1790770766
Name:AZADIAN, HARRY Y (MD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:Y
Last Name:AZADIAN
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 1:82 SYLVAN LN
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:MA
Mailing Address - Zip Code:02493-1028
Mailing Address - Country:US
Mailing Address - Phone:617-710-4565
Mailing Address - Fax:
Practice Address - Street 1:82 SYLVAN LN
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:MA
Practice Address - Zip Code:02493-1028
Practice Address - Country:US
Practice Address - Phone:617-710-4565
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA277732083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine