Healthcare Provider Details

I. General information

NPI: 1700819190
Provider Name (Legal Business Name): ABIR JOSEPH AZAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABIR JOSEPH GERIOS M.D.

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 07/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 NASHUA ST
MILFORD NH
03055-4915
US

IV. Provider business mailing address

444 NASHUA ST
MILFORD NH
03055-4915
US

V. Phone/Fax

Practice location:
  • Phone: 603-673-3870
  • Fax:
Mailing address:
  • Phone: 603-673-3870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number13043
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: