NPI 1336103019
Miguel Antonio de Aza, MD
Practice location
- Address
- 2957 North 5th St 2nd Floor, Philadelphia, PA 19133-2800
- Phone
- (484) 221-9135
- Fax
- (484) 221-9130
- Mailing address
- 2030 Tilghman St Lvcmhc INC, Allentown, PA 18104-4354
Registered specialties (2)
Personal Emergency Response Attendant
Primary
Mental Health Counselor
Registry record
- NPI
- 1336103019
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Apr 2006
- Record last updated
- 18 Mar 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.