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Individual

DR. MICHELLE C AZU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
97 W PARKWAY, POMPTON PLAINS, NJ 07444-1647
(973) 831-5056
(973) 907-1084
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(973) 656-6280
(973) 290-7495

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
245487
NY
2086X0206X
Surgical Oncology Physician
Primary
25MA08641600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0209007
NJ
Enumeration date
06/02/2008
Last updated
05/05/2015
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