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Individual

MICHELE AZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
501 S 54TH ST, ACADEMIC ER SVCS - ER DEPT, PHILADELPHIA, PA 19143-1900
(215) 748-9435
Mailing address
12 GILL ST, STE 3000, WOBURN, MA 01801-1728
(781) 937-4522

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD069553L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001806512
PA
01
0018065120001
PROMISE
PA
01
0526420000
KEYSTONE
PA
01
1133008
KEYSTONE MERCY
PA
Enumeration date
06/23/2006
Last updated
04/29/2008
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