Individual
OMAR AL AZZAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 EASTERN AVE, APT 204, MANCHESTER, NH 03104
(781) 330-4936
Mailing address
90 EASTERN AVE, APT 204, MANCHESTER, NH 03104
(781) 330-4936
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
NH
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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