| Doctor Name: | DR. EDWARD SHIBLI AZAR |
| NPI Number: | 1003291832 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | R89490 |
| Business Practice Address: | 455 State Rd New Milford, NJ - 07646 |
| Business Phone Number: | 4155164969 |
| Business Fax Number: | |
| Mailing Address: | 455 State Rd, NEW MILFORD |
| State: | NJ |
| Postal Code: | 07646 |
| Phone Number: | 4155164969 |
| Fax Number: | |
| NPI Enumeration Date: | 07/22/2015 |
| NPI Last Update Date: | 07/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | R89490 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |