Charles J. Azzam M.D., P.C.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

0101041648 Issued in VA

Legal business name

CHARLES J. AZZAM M.D., P.C.

Practice address

1916 Opitz Blvd
Woodbridge, VA 22191-3304

Phone

(703) 551-4113

Fax

(703) 491-1019

NPI assigned

Mar 2, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles J Azzam, M.D.

Title

President

Phone

(703) 551-4113

Specialties & licenses 1

Addresses

Other names 1

• Charles J. Azzam, M.D. Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1891018057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 OPITZ BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913304",
            "telephone_number": "703-551-4113",
            "fax_number": "703-491-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 OPITZ BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913304",
            "telephone_number": "703-551-4113",
            "fax_number": "703-491-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES J. AZZAM M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "AZZAM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-551-4113",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "0101041648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles J. Azzam, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jane J Chang, MD
• Jennifer Chang, DNP
• Shanti Chang, LNP
• Chantilly Foot and Ankle Center ,LLC
• Ann Banks Chapman, CRNP
• Em N Chau
• Mohit Chaudhary, D.D.S.
• Haashim A Chaudhry, DPT
• Alexandra Chavana, DPT
• Che & Son'S Non-Medical Services LLC

• Neurological Surgery Physician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Neurological Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.