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Individual

JOHN J AZAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, FACP

Contact information

Practice address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(304) 598-6560
(304) 285-2667
Mailing address
PO BOX 1286, FAIRMONT, WV 26555-1286
(304) 366-0111
(304) 366-2099

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
17192
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0077818000
WV
01
830005456
RAILROAD MEDICARE
WV
01
CH6378
RR MEDICARE
01
WV17192
HEALTH PLAN
WV
Enumeration date
09/06/2005
Last updated
10/20/2016
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