Individual
DR. OMAR PHILIP AZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
462 1ST AVE, 4W39, NEW YORK, NY 10016-9196
(212) 562-3421
Mailing address
462 1ST AVE, 4W39, NEW YORK, NY 10016-9196
(212) 562-3421
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
250311
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
250311
NY
Other
Enumeration date
01/25/2011
Last updated
12/04/2012
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