NPI 1629811260

Rodclyf Azima

Practitioner Contractor Brockton, MA

Practice location

Address: 32 Ellis St, Brockton, MA 02301-3385
Phone: (774) 279-2708

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1629811260
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jun 2024
Record last updated: 13 Jun 2024

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.