Azar, Dimitri T.

Azar, Dimitri T. is an individual health care provider with primary practice located at 243 Charles St , Boston MA 02114-3002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Azar, Dimitri T. can be contacted via phone (617) 573-4458.

Contact Information

Primary practice address
243 Charles St Boston MA 02114-3002
Phone: (617) 573-4458
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 60535 Massachusetts

Profile Details

NPI number 1205810413
LBN Legal business name Azar, Dimitri T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205810413 NPPES
Massachusetts MEDICAID 3062198

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