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Individual
JOHN J AZAR
Active
Individual
JOHN J AZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FACP
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
17192
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077818000
—
WV
01
—
830005456
RAILROAD MEDICARE
WV
01
—
CH6378
RR MEDICARE
—
01
—
WV17192
HEALTH PLAN
WV
Enumeration date
09/06/2005
Last updated
10/20/2016
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