Individual
DR. OFER AZOULAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 PROSPECT AVE STE 613, HACKENSACK, NJ 07601-1962
(201) 489-6520
(551) 228-7606
Mailing address
20 PROSPECT AVE, HACKENSACK, NJ 07601-1997
(201) 489-6520
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MA12396700
NJ
207Y00000X
Otolaryngology Physician
P06162
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
297870
PERMANENT LICENCE
NY
Enumeration date
08/24/2017
Last updated
10/09/2025
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