| Dr Aziza C Alam, MD | |
|
11050 Mt Belvedere Blvd, Fort Drum, NY 13602-2603 | |
| (315) 772-4024 | |
| Not Available |
| Full Name | Dr Aziza C Alam |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 11050 Mt Belvedere Blvd, Fort Drum, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073613568 | NPI | - | NPPES |
| 1256A | Other | MD | BLUE SHIELD OF MD |
| 4181 | Other | DC | BLUE SHIELD OF DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | D0022248 (Maryland) | Primary |
| Entity Name | Marys Center For Maternal And Child Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962520288 PECOS PAC ID: 5092798298 Enrollment ID: O20040609000873 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Aziza C Alam, MD 4255 Altamont Place, Suite 301, White Plains, MD 20695 Ph: (301) 645-1781 | Dr Aziza C Alam, MD 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-2603 Ph: (315) 772-4024 |
Savitri Motaparthi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11050 Mount Belvedere Blvd, Usa Meddac /credentials, Fort Drum, NY 13602 Phone: 315-772-4025 Fax: 315-772-9498 | |
Dr. Mehmet Fatih Ramazanoglu, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778 | |
Dr. Lara Kristina Primak, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11050 Mt. Belvedere Blvd., Usa Meddac/credentials, Fort Drum, NY 13602 Phone: 315-772-4025 Fax: 315-772-9498 | |
William Edwards, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778 | |
Dr. Arthur Denning Duff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Attn: Credentials, Fort Drum, NY 13602 Phone: 315-772-4025 | |
Elizabeth Kramer, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2778 |