Individual
DR. MADELYNN AZAR-CAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH, CPE, FACOEM
Contact information
Practice address
ONE MEDICAL CENTER DRIVE, DARTMOUTH HITCHCOCK - OCCUPATIONAL MEDICINE, LEBANON, NH 03756
(603) 653-3893
Mailing address
24 BRADFORD ST APT 2, BOSTON, MA 02118-2119
(646) 799-8944
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
272637
NY
2083X0100X
Occupational Medicine Physician
Primary
LT4099
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
272537-1
STATE OF NEW YORK PHYSICIAN LICENSE
NY
01
—
60134
STATE OF MASSACHUSETTS PHYSICIAN LICENCE
MA
01
—
G64777
STATE OF CALIFORNIA PHYSICIAN LICENSE
CA
01
—
LT-4099
STATE OF NEW HAMPSHIRE LOCUM TENENS LICENSE
NH
Enumeration date
01/31/2007
Last updated
07/01/2019
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