Individual
DR. MADELYNN AZAR-CAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH, CPE, FACOEM
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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