Organization
AZAR A KORBEY MD
Active
Other names
AZAR A KORBEY MD
Organization subpart
No
Provider details
NPI number
Authorized official
DIRENDIA SHACKELFORD (MANAGED CARE SPECIALIST)
(800) 654-0889
Entity
Organization
Contact information
Practice address
22 MAIN ST, SALEM, NH 03079-5900
(603) 893-7905
(603) 898-6106
Mailing address
22 MAIN ST, SALEM, NH 03079-5900
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
7069
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3006067
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/23/2006
Last updated
08/22/2020
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