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NPI Code Detail

MEDICARE: GEORGE AZAR

MEDICARE: GEORGE AZAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist28RI03768800NJ

General Provider Information

NPI Number : 1417873001
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE AZAR
Provider Business Mailing Address
First Line : 10 RONNIE RD
Second Line :
City : WAYNE
State : NJ
Zip : 07470-3910
Country : US
Telephone Number : 973-682-2100
Fax Number :
Provider Business Practice Location Address
First Line : 10 RONNIE RD
Second Line :
City : WAYNE
State : NJ
Zip : 07470-3910
Country : US
Telephone Number : 973-682-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2026
Last Update Date : 06/26/2026

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Directions to “ GEORGE AZAR ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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